Individual
KATHLEEN M MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 COBURG RD STE 306, EUGENE, OR 97401-5531
(541) 334-5000
Mailing address
1035 SE BELL AVE, CORVALLIS, OR 97333-2055
(541) 207-7304
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
15606
OR
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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