Jacob Miller, CADC I

NPI 1992379671 · on the registry since 2021

Practice

Address: 777 Nw 9th St Ste 102
Corvallis, OR 97330
Phone: (541) 768-6769
Fax: (541) 768-9771
Organisation at this address: Corvallis Radiology Pc
Smaritan Health Services Inc
Good Samaritan Hospital Corvallis
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 19

Registry record

Primary taxonomy: 101YA0400X
101YA0400X
Licence states on file: OR
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2021-05-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon