Provider Demographics
NPI:1952681397
Name:MILLIGAN, CHINA ROSS (PA-C)
Entity Type:Individual
Prefix:
First Name:CHINA
Middle Name:ROSS
Last Name:MILLIGAN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16560 SW RED ROCK WAY STE 900
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97007-8768
Mailing Address - Country:US
Mailing Address - Phone:530-209-9052
Mailing Address - Fax:
Practice Address - Street 1:8060 SW PFAFFLE ST STE 102
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-8489
Practice Address - Country:US
Practice Address - Phone:503-714-8987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-17
Last Update Date:2022-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1099139363A00000X
ORPA183936363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant