Individual
STEVEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSA
Contact information
Practice address
11022 SE LENORE ST, HAPPY VALLEY, OR 97086-8790
(503) 698-2020
(503) 926-9303
Mailing address
11022 SE LENORE ST, HAPPY VALLEY, OR 97086-8790
(503) 698-2020
(503) 926-9303
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
15-2251
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26-2009073
FEDERAL ID NUMBER
—
Enumeration date
07/10/2015
Last updated
07/22/2015
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