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General NPI Number Information
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NPI Number | 1770937831
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Entity Type | Individual
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Provider Name | OKSANA S MILLER DO
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Gender | Female
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 12/26/2019
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Provider Practice Location Address
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Address Line | 9631 269TH ST NW
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City | STANWOOD
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State | WA
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Zip | 98292-8071
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Country | US
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Telephone | 360-629-1600
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Fax | 360-629-1644
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Provider Business Mailing Address
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Address Line | PO BOX 1376
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City | MOUNT VERNON
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State | WA
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Zip | 98273-1376
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Country | US
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Telephone | 360-424-4111
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OP60664358
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License Number State | WA
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