NPI 1598299729

Sarah Rebecca Miller

Practitioner Prevention Professional La Pine, OR

Practice location

Address: 16493 Bluewood Pl # 5, La Pine, OR 97739-7526
Phone: (541) 536-5711
Mailing address: 52437 Lost Ponderosa Rd, La Pine, OR 97739-9519

Registered specialties

Prevention Professional Primary

Other Service Providers Taxonomy 405300000X Licence 20107 (OR)

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Registry record

NPI: 1598299729
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Apr 2017
Record last updated: 13 Apr 2017

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.