IndividualActive
Mark Miller, MD
NPI 1053576215 · Pediatric Orthopaedic Surgery Physician · Portland, OR
Provider details
- NPI number
- 1053576215
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD229197 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
3101 Sw Sam Jackson Park Rd Ste 1b
Portland, OR 97239-3095
Phone: (503) 221-3424
Fax: (503) 221-3490
Approximate (ZIP-level) locationGet directions
Mailing address
3101 Sw Sam Jackson Park Rd
Portland, OR 97239-3095
Additional practice locations (1)
- 9135 Sw Barnes Rd Ste 763Portland, OR 97225-6777Phone: (503) 216-6560
Registry dates
- Enumerated
- 2008-07-26
- Last updated
- 2026-04-30
- Certified
- 2026-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.