Individual
REAGAN KATE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2355 STATE ST STE 101, SALEM, OR 97301-4541
(503) 217-4201
Mailing address
PO BOX 13495, SALEM, OR 97309-1495
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
R8190
—
Other
Enumeration date
04/04/2023
Last updated
04/20/2023
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