Individual
LAURA MICHELLE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4805 NE GLISAN ST, PORTLAND, OR 97213-2933
(503) 215-1111
Mailing address
7155 N DELAWARE AVE, PORTLAND, OR 97217-5703
(503) 720-1235
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
998932
OR
Other
Enumeration date
09/06/2018
Last updated
09/06/2018
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