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Individual

DR. CRYSTAL ANN MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RRT, DHA

Contact information

Practice address
77 SW RIVERVIEW PL, GRESHAM, OR 97080-6773
(503) 875-1922
Mailing address
77 SW RIVERVIEW PL, GRESHAM, OR 97080-6773
(503) 875-1922

Taxonomy

Speciality
Code
Description
License number
State
227900000X
Registered Respiratory Therapist
LR0003193
WA
2279C0205X
Critical Care Registered Respiratory Therapist
Primary
10177776
OR

Other

Enumeration date
09/13/2019
Last updated
09/13/2019
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