Leverett T Miller, LMT

NPI #1962678896 in Oregon City, Oregon

Provider Information

NPI Number: 1962678896
Entity Type: Individual
Name: Leverett T Miller, LMT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Contractor
Credential: LMT
Enumeration Date: Apr 30, 2008
Last Updated: Apr 30, 2008

Practice Location

Address: 13650 GARDEN MEADOW DR
City: Oregon City
State: Oregon
ZIP Code: 97045-6813
Phone: (503) 319-2784

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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