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Individual

BRYAN TOMMY MILLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 259-3119
(503) 649-7405
Mailing address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 259-3119
(503) 649-7405

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/18/2019
Last updated
01/18/2019
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