Individual
MICHELLE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
PO BOX 1234, SAINT HELENS, OR 97051-8234
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201910984RN
OR
Other
Enumeration date
01/23/2020
Last updated
01/23/2020
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