Individual
MICHAELA MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 571-4272
Mailing address
5950 SE 17TH AVE, PORTLAND, OR 97202-5211
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LDD10172321
OR
Other
Enumeration date
11/09/2016
Last updated
12/20/2021
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