Individual
MR. LONNIE EUGENE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, CNOR, VA-BC
Contact information
Practice address
1401 N 10TH AVE, STAYTON, OR 97383-1399
(503) 769-9322
Mailing address
43396 KINGSTON LYONS DR SE, STAYTON, OR 97383-9733
(503) 507-0999
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
201040619RN
OR
Other
Enumeration date
08/12/2021
Last updated
08/12/2021
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