Individual
DEBORAH T MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Mailing address
4400 NE HALSEY ST STE 200, PORTLAND, OR 97213-1545
(503) 215-6556
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200930522LPN
OR
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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