Individual
MICHELLE RENEE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 WILLIAMS HWY STE 6, GRANTS PASS, OR 97527-5674
(971) 777-9759
Mailing address
208 SE YORKTOWN DR, GRANTS PASS, OR 97527-5850
(971) 777-9759
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25990
OR
Other
Enumeration date
04/15/2021
Last updated
04/15/2021
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