Individual
JOHN MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7412 SW BEAVERTON HILLSDALE HWY STE 106, PORTLAND, OR 97225
(503) 542-0088
Mailing address
7412 SW BEAVERTON HILLSDALE HWY STE 106, PORTLAND, OR 97225
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15-2169
OR
Other
Enumeration date
05/04/2017
Last updated
05/04/2017
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