NPI 1003241563

Russell Miller, CP

Practitioner Prosthetist Olympia, WA

Practice location

Address: 3508 12th Ave NE, Olympia, WA 98506-5218
Phone: (360) 459-1099
Fax: (360) 459-1794

Registered specialties

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence PS 60371032 (WA)

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Registry record

NPI: 1003241563
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Sep 2013
Record last updated: 3 Sep 2013

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.