Individual
MIRIAM GENEVA POWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1276
Mailing address
3680 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 754-1276
(844) 430-6489
Taxonomy
Speciality
Code
Description
License number
State
246ZX2200X
Orthopedic Assistant
Primary
07-0811
OR
Other
Enumeration date
11/12/2019
Last updated
11/27/2023
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