Healthcare Provider Details

I. General information

NPI: 1265802458
Provider Name (Legal Business Name): DANIEL DOUGLAS MILLIGAN ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/30/2015
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4512 DUBOIS DR
VANCOUVER WA
98661-6040
US

IV. Provider business mailing address

4512 DUBOIS DR
VANCOUVER WA
98661-6040
US

V. Phone/Fax

Practice location:
  • Phone: 971-228-2228
  • Fax: 503-436-7131
Mailing address:
  • Phone: 503-406-8741
  • Fax: 888-997-2920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number3008
License Number StateOR
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberNT61169994
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: