Individual
STEFANIE MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
1837 SE MILLER ST, PORTLAND, OR 97202-6729
(617) 460-0104
Mailing address
1837 SE MILLER ST, PORTLAND, OR 97202-6729
(617) 460-0104
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
10/16/2008
Last updated
04/10/2015
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