Mill-E-Moto

NPI #1598001745 in Beaverton, Oregon

Provider Information

NPI Number: 1598001745
Entity Type: Organization
Organization Name: Mill-E-Moto
Primary Specialty: Acupuncturist
Enumeration Date: Dec 17, 2012
Last Updated: Dec 17, 2012

Practice Location

Address: 4625 SW WASHINGTON AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-0529
Phone: (503) 758-7108

Authorized Official

Name: RYAN JOHN MILLEY, MACOM, LAC
Title: OWNER
Phone: (503) 758-7108

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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