Provider Demographics
NPI:1881971893
Name:MILLS, MEGAN (RN)
Entity type:Individual
Prefix:
First Name:MEGAN
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2053
Mailing Address - Street 2:
Mailing Address - City:GEARHART
Mailing Address - State:OR
Mailing Address - Zip Code:97138-2053
Mailing Address - Country:US
Mailing Address - Phone:503-440-0185
Mailing Address - Fax:
Practice Address - Street 1:850 10TH AVE
Practice Address - Street 2:POB 2053
Practice Address - City:SEASIDE
Practice Address - State:OR
Practice Address - Zip Code:97138-7004
Practice Address - Country:US
Practice Address - Phone:503-440-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-05
Last Update Date:2011-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR095007234RN163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health