Individual
LEVERETT T MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
13650 GARDEN MEADOW DR, OREGON CITY, OR 97045-6813
(503) 319-2784
Mailing address
13650 GARDEN MEADOW DR, OREGON CITY, OR 97045-6813
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
12848
OR
Other
Enumeration date
04/30/2008
Last updated
04/30/2008
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