Individual
DR. MILLER GARRISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2104 NE 45TH AVE, PORTLAND, OR 97213-1342
(503) 317-4521
Mailing address
2104 NE 45TH AVE, PORTLAND, OR 97213-1342
(503) 317-4521
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
503
OR
Other
Enumeration date
08/29/2005
Last updated
10/14/2010
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