Individual
BRAEDON CLAY MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
641 SE MILLER AVE, DALLAS, OR 97338-2634
(503) 623-7305
Mailing address
6300 FERN HILL RD, MONMOUTH, OR 97361-9687
(425) 749-9831
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
64987
OR
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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