Individual
MADELINE MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2311 NW VAN BUREN AVE, CORVALLIS, OR 97330-5399
(541) 230-1297
Mailing address
2311 NW VAN BUREN AVE, CORVALLIS, OR 97330-5399
(541) 230-1297
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
000105043
OR
Other
Enumeration date
01/09/2024
Last updated
01/09/2024
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