Individual
MR. EZRA JOHN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.S.
Contact information
Practice address
9300 NE OAK VIEW DR, SUITE B, VANCOUVER, WA 98662-6157
(360) 567-2211
Mailing address
7913 NE 122ND AVE, VANCOUVER, WA 98682-4016
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60178278
WA
Other
Enumeration date
01/25/2013
Last updated
01/25/2013
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