| Doctor Name: | LORELEI MCMILLIAN |
| NPI Number: | 1053387860 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | |
| Business Practice Address: | 1523 Nw Canal Blvd Suite 300 Redmond, OR - 977561340 |
| Business Phone Number: | 5415486505 |
| Business Fax Number: | 5415266665 |
| Mailing Address: | 1523 Nw Canal Blvd, Suite 300 REDMOND |
| State: | OR |
| Postal Code: | 977561340 |
| Phone Number: | 5415486505 |
| Fax Number: | 5415266665 |
| NPI Enumeration Date: | 02/23/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |