Provider Demographics
NPI:1891199410
Name:MILLER, HILARY ELIZABETH I (ND)
Entity Type:Individual
Prefix:DR
First Name:HILARY
Middle Name:ELIZABETH
Last Name:MILLER
Suffix:I
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 SE LIEBE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-3145
Mailing Address - Country:US
Mailing Address - Phone:503-757-6034
Mailing Address - Fax:
Practice Address - Street 1:8503 SE LIEBE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-3145
Practice Address - Country:US
Practice Address - Phone:503-757-6034
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-09
Last Update Date:2014-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2048175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR2048OtherSTATE OF OREGON BOARD OF NATUROPATHIC MEDICINE LICENSE #