NPI 1023480050

Keith L Miller, OD, PC

Organisation Optometrist Happy Valley, OR

Practice location

Address: 11800 SE 82nd Ave, Happy Valley, OR 97086-7711
Phone: (503) 786-5235
Mailing address: 7667 SE Lincoln St, Portland, OR 97215-4153

Authorised official

Name: Keith L Miller
Title: Owner
Phone: (503) 786-5235

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 1865AT (OR)

Other Optometrist providers in Oregon →

Registry record

NPI: 1023480050
Entity type: Organization
NPI issued: 29 Oct 2015
Record last updated: 29 Oct 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.