Individual
DR. JOHN DAVID MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1849 NW KEARNEY ST, SUITE 200, PORTLAND, OR 97209-1453
(503) 944-9374
Mailing address
1460 COMMERCIAL ST SE, SALEM, OR 97302-4308
(503) 581-1569
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
57442
CA
Other
Enumeration date
10/29/2008
Last updated
12/19/2013
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