MISS Shanon Lea Miller
NPI #1396191391 in Forest Grove, Oregon
Provider Information
- NPI Number
- 1396191391
- Entity Type
- Individual
- Name
- MISS Shanon Lea Miller
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- May 9, 2016
- Last Updated
- May 9, 2016
Practice Location
- Address
- 3900 PACIFIC AVE
- City
- Forest Grove
- State
- Oregon
- ZIP Code
- 97116-2226
- Phone
- (503) 359-0449
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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