Individual
MRS. DEBRA ANN MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
13007 NE GLISAN ST, PORTLAND, OR 97230-2545
(503) 215-7874
(503) 215-7864
Mailing address
4531 SE BELMONT ST STE 100, PORTLAND, OR 97215-1675
(503) 215-7874
(503) 215-7864
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
096007147RN
OR
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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