Individual
JENNIFER L MILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5940
(541) 706-5941
Mailing address
61250 SE COOMBS PL, BEND, OR 97702-3704
(541) 706-5940
(541) 706-5941
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2053
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500713291
—
OR
Enumeration date
04/10/2008
Last updated
11/14/2017
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