Individual
MR. JEREMY M MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
611 SW CAMPUS DR, PORTLAND, OR 97239-3001
(503) 494-8874
(503) 494-8874
Mailing address
611 SW CAMPUS DR, PORTLAND, OR 97239-3001
(503) 494-8874
(503) 494-8874
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H6146
OR
Other
Enumeration date
02/20/2013
Last updated
02/20/2013
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