Individual
PAUL JOSEPH MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
75 S 5TH ST, COTTAGE GROVE, OR 97424-2008
(541) 315-5782
Mailing address
75 S 5TH ST, COTTAGE GROVE, OR 97424-2008
(541) 315-5782
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
07/07/2017
Last updated
07/21/2022
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