Individual
MR. BRYAN HERBERT MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
118 N KILLINGSWORTH ST, PORTLAND, OR 97217-2435
(503) 288-4454
Mailing address
3736 N GANTENBEIN AVE, PORTLAND, OR 97227-1415
(503) 593-0352
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
13745
OR
Other
Enumeration date
08/27/2009
Last updated
08/27/2009
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