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Glen A Milligan, MD
Specialist in Gresham, Oregon
NPI 1144398801

Glen A Milligan is a Specialist based in Gresham, OR. Glen A Milligan practices in Gresham, OR and has the professional credentials of MD. The NPI Number for Glen A Milligan is 1144398801 and holds a License No. MD07799 (Oregon).

The current practice location address for Glen A Milligan is 24076 Se Stark St, Gresham, OR and can be reached out via phone at 503-465-5461 and via fax at 503-465-5468.

Location: 24076 Se Stark St, Gresham, OR, 97030-3373
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144398801
Provider Name
Glen A Milligan
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
24076 Se Stark St, Gresham, OR, 97030-3373
Phone Number
503-465-5461
Fax Number
503-465-5468
Provider Enumeration Date
12/01/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
24076 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3373
Phone Number
503-465-5461
Fax Number
503-465-5468
person
Provider Business Mailing Address Details
Address
24076 Se Stark St
City
Gresham
State
Oregon
Zip
97030-3373
Phone Number
503-465-5461
Fax Number
503-465-5468
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MD07799 (Oregon)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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