Individual
STEVEN MARK MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2111 NE 40TH AVE, PORTLAND, OR 97212-5406
(503) 284-2139
(503) 287-2879
Mailing address
2111 NE 40TH AVE, PORTLAND, OR 97212-5406
(503) 284-2139
(503) 287-2879
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5867
OR
Other
Enumeration date
12/16/2006
Last updated
07/08/2007
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