Individual
MRS. EMILY KATHRYN SECRETO MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
10121 SE SUNNYSIDE RD STE 208, CLACKAMAS, OR 97015-5750
(503) 794-0103
Mailing address
17255 S HALLBACKA LN, MULINO, OR 97042-8721
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9783
OR
Other
Enumeration date
01/08/2024
Last updated
01/08/2024
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