Individual
MARTHA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., ATC, OTC
Contact information
Practice address
11782 SW BARNES RD, PORTLAND, OR 97225-5914
(573) 424-1185
Mailing address
11782 SW BARNES RD STE 300, PORTLAND, OR 97225-5933
(573) 424-1185
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/26/2015
Last updated
05/13/2020
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