Individual
JAMES MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
380 NW 6TH AVE, ESTACADA, OR 97023-7713
(503) 395-0436
Mailing address
18600 SE MCLOUGHLIN BLVD, MILWAUKIE, OR 97267-6723
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
25-CRM-4726
OR
Other
Enumeration date
09/02/2025
Last updated
09/02/2025
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