Individual
ALYSHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(888) 237-7778
Mailing address
63140 BRITTA ST STE D104, BEND, OR 97703-5738
(888) 237-7778
(541) 504-3907
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108233
—
OR
Enumeration date
01/31/2023
Last updated
01/31/2023
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