Individual
RONALD I MIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
6410 NE HALSEY ST, PORTLAND, OR 97213-4742
(971) 337-5567
(971) 337-5567
Mailing address
6410 NE HALSEY ST, PORTLAND, OR 97213-4742
(971) 337-5567
(971) 337-5567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1057982
OR
Other
Enumeration date
08/06/2009
Last updated
12/26/2024
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