Individual
ALYSSA B MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 506-4111
Mailing address
1700 E 19TH ST, THE DALLES, OR 97058-3317
(541) 506-4111
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
108260
OR
Other
Enumeration date
02/20/2023
Last updated
04/25/2024
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