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Individual

BETH JORDAN MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMT

Contact information

Practice address
628 NW YORK DR STE 205, BEND, OR 97703-1572
(541) 728-3911
Mailing address
60943 SE SWEET PEA DR, BEND, OR 97702-9759
(541) 610-5497

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25181
OR

Other

Enumeration date
10/30/2023
Last updated
10/30/2023
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