NPI 1134404015

Tara Janell Milas, LMP

Practitioner Specialist Anacortes, WA

Practice location

Address: 3110 Commercial Ave. Suite 103, Anacortes, WA 98221
Phone: (360) 293-5500
Mailing address: 3630 Seneca Drive, Mount Vernon, WA 98273

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence MA 00020167 (WA)

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Registry record

NPI: 1134404015
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Oct 2011
Record last updated: 11 Oct 2011

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.