Individual provider Active NPI

Debbie L Miller, M.D.

  • Dermatology Physician
  • Portland, OR
National Provider Identifier
1205838075
Registry record updated Jun 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD16346 Issued in OR
Practice address
2565 NW Lovejoy St
Suite 100
Portland, OR 97210-2846
Phone
(503) 279-9700
Fax
(503) 279-8114
NPI assigned
Aug 11, 2005
Last updated
Jun 11, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD16346 OR Primary

Addresses

Primary practice location

2565 NW Lovejoy St
Suite 100
Portland, OR 97210-2846

Mailing address

2565 NW Lovejoy St
Suite 100
Portland, OR 97210-2846
Phone (503) 279-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050222000311 OR Practitioner - DermatologyPractitioner - Internal Medicine 8325091168 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Portland, OR

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
University of Washington School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Health Specialists, PCGroup PAC ID 7214260603, 6 clinicians

Practice addresses (Care Compare)

1693 SW Chandler Ave
Suite 250
Bend, OR 97702-3231
Phone (210) 632-5544

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions136
Removal or shaving of skin growth18
Skin biopsy63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Health Specialists, PC Dermatology CurrentSince Jul 5, 2023 Accepting new patients

Locations

1693 SW Chandler Ave
Ste 250
Bend, OR 97702
Phone (210) 632-5544

2565 NW Lovejoy St
Ste 100
Portland, OR 97210
Phone (503) 279-9700

1245 NW 4th St
Ste 201
Redmond, OR 97756
Phone (541) 323-4545

Interoperability endpoints

  • Direct secure messaging: debbie.miller.1@19536.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1205838075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2565 NW LOVEJOY ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102846",
            "telephone_number": "503-279-9700",
            "fax_number": "503-279-8114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2565 NW LOVEJOY ST",
            "address_2": "SUITE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102846",
            "telephone_number": "503-279-9700",
            "fax_number": "503-279-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "DEBBIE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD16346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.