GLEN A MILLIGAN M.D.
NPI 1144398801
Specialist in Gresham, OR

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since December 01, 2006

24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030(503) 465-5461(503) 465-5468 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Glen A Milligan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLEN A MILLIGAN M.D. (NPI 1144398801) is an individual specialist in Gresham, Oregon, licensed in Oregon (MD07799) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1144398801

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGLEN A MILLIGANCredential: M.D.

Location Address24076 SE STARK ST, SUITE 230Gresham, OR 97030-3373

Mailing Address24076 Se Stark St, Suite 230Gresham, OR 97030-3373 · (503) 465-5461 · Fax (503) 465-5468

Phone(503) 465-5461

Fax(503) 465-5468

Sole ProprietorNo

Enumeration DateDecember 1, 2006

Last NPPES UpdateJuly 9, 2007

✔ NPI 1144398801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in OR · MD07799

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

24076 SE STARK ST, Gresham, OR 97030

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