Individual
DEAN R MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.M.T
Contact information
Practice address
925 AVENUE H, SEASIDE, OR 97138-7639
(503) 738-0612
Mailing address
925 AVENUE H, SEASIDE, OR 97138-7639
(503) 738-0612
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11981
OR
Other
Enumeration date
11/11/2011
Last updated
11/11/2011
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