Individual
MS. MARY E MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
33905 FORD MILL RD, LEBANON, OR 97355-9118
(541) 259-3050
Mailing address
33905 FORD MILL RD, LEBANON, OR 97355-9118
(541) 259-3050
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12026
OR
Other
Enumeration date
05/20/2008
Last updated
05/20/2008
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