DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ASTIN MARY MILLS AG-ACNP

MEDICARE: ASTIN MARY MILLS AG-ACNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LA2200XAdult Health Nurse Practitioner10033752OR
2363LA2100XAcute Care Nurse Practitioner10033752OR

General Provider Information

NPI Number : 1255151544
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASTIN MARY MILLS AG-ACNP
Provider Business Mailing Address
First Line : 1400 SW 5TH AVE STE 500
Second Line :
City : PORTLAND
State : OR
Zip : 97201-5537
Country : US
Telephone Number :
Fax Number : 503-346-8021
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-494-8311
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2024
Last Update Date : 06/02/2026

Similar Medicare Providers

1750678751 — DR. MORGYN BECKMAN M.D.
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 503-494-6176
Practice Fax: 503-494-6152
1962909952 — KISHOR KHANAL MD
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 503-494-7646
Practice Fax:
1790243715 — MS. SARAH ANN SPILLER NP
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 503-593-5386
Practice Fax:
1447518923 — DR. NALINI ANNE COLACO M.D., PH.D.
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 718-300-2305
Practice Fax:
1962060699 — KEVIN ZHANG MD
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 773-541-4022
Practice Fax:
1023800869 — FAYHAA DOJA DO
Practice Location Address:
3181 SW SAM JACKSON PARK RD
PORTLAND, OR
97239-3011
Practice Phone: 503-494-8311
Practice Fax:

Directions to “ ASTIN MARY MILLS AG-ACNP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.