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General NPI Number Information
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NPI Number | 1346236478
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Entity Type | Individual
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Provider Name | ESTEBAN E MILLER MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2005
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Last Update Date | 07/09/2024
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Provider Practice Location Address
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Address Line | 2500 NE NEFF RD
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City | BEND
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State | OR
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Zip | 97701-6015
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Country | US
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Telephone | 541-706-6892
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Fax | 541-706-6813
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Provider Business Mailing Address
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Address Line | PO BOX 6095
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City | BEND
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State | OR
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Zip | 97708-6095
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Country | US
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Telephone | 541-706-5922
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Fax | 541-706-6869
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD23886
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 60159-20
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | MD23886
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License Number State | OR
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