Keith Miller Od PC

NPI #1760641138 in Happy Valley, Oregon

Provider Information

NPI Number: 1760641138
Entity Type: Organization
Organization Name: Keith Miller Od PC
Primary Specialty: Optometrist
Enumeration Date: Jun 2, 2008
Last Updated: Sep 29, 2016

Practice Location

Address: 11800 SE 82ND AVE
City: Happy Valley
State: Oregon
ZIP Code: 97086
Phone: (503) 786-5235

Authorized Official

Name: KEITH MILLER, OD
Title: OWNER
Phone: (503) 860-6399

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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