Organization
ROGER MILLER LAKE OSWEGO PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGER J MILLER COMP FAAOMPT (PHYSICAL THERAPIST AND OWNER)
(971) 204-0600
Entity
Organization
Contact information
Practice address
15110 BOONES FERRY RD STE 230, LAKE OSWEGO, OR 97035-3497
(971) 204-0600
(971) 204-0602
Mailing address
6464 SW BORLAND RD STE B5, TUALATIN, OR 97062-8859
(971) 204-0600
(971) 204-0602
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
PT0851
OR
261QP2000X
Physical Therapy Clinic/Center
—
—
Other
Enumeration date
05/18/2016
Last updated
12/01/2017
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