Individual
JOHNATHAN ALLEN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Mailing address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1150
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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