Individual
NOAH MISKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
207 SW 1ST ST, ENTERPRISE, OR 97828-1203
(541) 426-4524
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/04/2017
Last updated
10/04/2017
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