Organization
WILLIAM MILLER LMT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM F MILLER IV LMT (LICENSED MASSAGE THERAPIST)
(503) 707-1313
Entity
Organization
Contact information
Practice address
516 SE MORRISON ST, SUITE 207, PORTLAND, OR 97214-2327
(503) 239-1022
Mailing address
5450 SE WILLOW ST, MILWAUKIE, OR 97222-4283
(503) 707-1313
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
19923
OR
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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