DR. CLINTON MILLER


Address: 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117
Phone: 3604914211

DR. CLINTON MILLER (NPI# 1417026097) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417026097
Entity Type Individual
Full Name DR. CLINTON MILLER
Credential DDS, PA-C
Practice Address 615 Lilly Rd Ne Ste 100
Olympia
WA 98506-5117
Mailing Address Po Box 368
Olympia
WA 98507-0368
Practice Telephone 3604914211
Practice Fax Number 3604930407
Mailing Telephone 3604918439
Mailing Fax Number 3604916328
Enumeration Date 2006-11-07
Last Update Date 2018-04-05
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 1223G0001X Dentist
Specialization: General Practice
31003 TX Dental Providers
Y 363A00000X Physician Assistant PA10004850 WA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA05405 TX Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA 1009815 05

Provider Secondary Practice Location

Address Telephone Number Fax Number
8140 Freedom Ln Ne, Lacey, WA 985164752 3607547622 3604916328

Other Providers CLINTON MILLER

NPI Name Taxonomy Address Enumeration
1821224577 Clinton S Miller Dentist 317 Brewster St E, Harvey, ND 58341-1653 2009-06-09
1699721761 Clinton Frederick Miller Specialist 330 Borthwick Ave, Suite 300, Portsmouth, NH 03801-4174 2006-05-26

Office Location

Street Address 615 LILLY RD NE STE 100
City OLYMPIA
State WA
Zip Code 98506-5117

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083723746 Stephen R Fischer Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2006-08-29
1457818239 Nicole Autumn Pine Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2019-02-27
1790177632 Michael Skriletz Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2015-03-02
1013317296 Eric Christopher Moss Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2014-08-25
1386074599 Michelle Mcginley Nurse Practitioner 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2013-11-25
1831480748 Adam Joseph Graver Orthopaedic Surgery 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2011-04-26
1164695813 Richard Joseph Lamour Orthopaedic Surgery 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2008-04-02

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477185460 Chloe Harper Technician, Other 3443 Lilly Rd Se, Ste B, Olympia, WA 98506 2020-02-07
1912543539 Jessica Marie Radakovich Licensed Practical Nurse 3426 Mary Elder Rd, Olympia, WA 98506 2019-11-19
1669014973 Arlene Josephine Adams Registered Nurse 413 Lily Rd Ne, Olympia, WA 98506 2019-10-09
1861999120 Debra Delores Barker Licensed Practical Nurse 3710 South Bay Rd Ne, Olympia, WA 98506 2018-04-12
1801304431 Michelle Warner Nurse Practitioner 205 Lilly Rd Ne Ste A1, Olympia, WA 98506 2018-01-17
1396258364 Institute for Family Development Community/Behavioral Health 204 Quince St. Ne, Suite 200, Olympia, WA 98506 2017-11-13
1083137715 Cameron Kunkel Specialist/Technologist 2512 20th Ave Ne, Olympia, WA 98506 2017-07-25
1184144768 Trevor Shane Kwan Family Medicine 525 Lilly Road Ne, Olympia, WA 98506 2017-06-23
1073043212 Michael H Harburg Behavior Technician 3857 Martin Way Ne, Olympia, WA 98506 2017-06-19
1780114371 Priscilla Kangyang Jadu Counselor 3857 Martin Way E., Olympia, WA 98506 2017-06-15
Find all providers in zip 98506

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1649750555 Stephanie Mcclymond Physician Assistant 5519 Donnelly Dr Se, Olympia, WA 98501-5019 2018-08-20
1265972814 Holmes Howard Stoner IIi Physician Assistant 2229 Cooper Crest Pl Nw, Olympia, WA 98502-4079 2017-03-01
1598112054 Jason Nathaniel Shepherd Physician Assistant 1620 Cooper Point Rd Sw Ste 200, Olympia, WA 98502-5736 2016-05-14
1972990281 Ryan David Richards Physician Assistant 3627 Ensign Rd Ne Ste A, Olympia, WA 98506-6104 2015-04-24
1841590502 Barbara Ann Krulich Physician Assistant 2700 Evergreen Parkway Nw, Seminar I 2100, Olympia, WA 98505 2010-10-28
1295889087 Brad Goldworm Physician Assistant 2950 Limited Ln Nw, Olympia, WA 98502-4577 2007-01-22
1083723746 Stephen R Fischer Physician Assistant 615 Lilly Rd Ne Ste 100, Olympia, WA 98506-5117 2006-08-29
1326063462 John Richard Hill Physician Assistant 7125 101st Ave Sw, Olympia, WA 98512-2139 2006-07-12
1164464053 John C Schira Physician Assistant 6700 Martin Way E, Suite 117, Olympia, WA 98516-6502 2006-06-12
1205885290 Kathy Lucia Savatini Physician Assistant 615 Lilly Rd Ne, Ste 100, Olympia, WA 98506-5117 2006-05-08
Find all providers in OLYMPIA

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City OLYMPIA
Zip Code 98506

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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