Individual
SUSAN EILEEN MILLER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 963-0830
(541) 975-2720
Mailing address
1608 OAK ST, LA GRANDE, OR 97850-1522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0982541
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CI8434
RAILROAD/MEDICARE
OR
Enumeration date
12/21/2005
Last updated
07/08/2007
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