Individual
MRS. JEWEL M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4635 NW SALISHAN DR, PORTLAND, OR 97229-2741
(503) 819-7598
Mailing address
4635 NW SALISHAN DR, PORTLAND, OR 97229-2741
(503) 819-7598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
4777
OR
Other
Enumeration date
08/24/2009
Last updated
08/24/2009
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