Individual
HEIDI LYNN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9155 SW BARNES RD STE 362, PORTLAND, OR 97225-6625
(503) 216-8137
Mailing address
11744 NE SISKIYOU ST, PORTLAND, OR 97220-1659
(971) 219-9830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3706
OR
Other
Enumeration date
07/30/2018
Last updated
07/30/2018
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