Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Astin Mary Mills, AG-ACNP

Individual provider Adult Health Nurse Practitioner · NPI 1255151544

Astin Mary Mills, AG-ACNP is a Nurse Practitioner in Portland, Oregon. Qualified in 2024, 2 years ago. Practices with Legacy Clinics LLC, a 718-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone: (503) 494-8311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 25050 Se Stark St Ste 265, Gresham, OR 97030-3388 — (503) 674-1520

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 10033752 (OR)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 10033752 (OR)

Record details

NPI number1255151544
Entity typeIndividual (Type 1)
GenderFemale
Credentials AG-ACNP
Sole proprietorNo
NPI enumeratedOctober 12, 2024
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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