Individual
STEPHEN JONATHON MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RPH
Contact information
Practice address
5721 NE 138TH AVE, PORTLAND, OR 97230-3409
(503) 261-7501
(503) 261-7520
Mailing address
2762 VALE CT, LAKE OSWEGO, OR 97034-7536
(503) 638-1192
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
6580
OR
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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