Individual provider · Type 1 NPI

Gracey Anna Miller, PA

Medical Physician Assistant · Portland, OR

NPI number 1710535562 Active

Practice location

3303 SW Bond Ave Ste 7
Portland, OR 97239-4501

Call (503) 494-7999 Map

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XNone listed
Medical Physician Assistant Primary 363AM0700XPA195805 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1710535562

Gracey Anna Miller, PA's National Provider Identifier is 1710535562, issued on Aug 26, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Feb 11, 2025.