NPI 1962678896

Leverett T Miller, LMT

Practitioner Contractor Oregon City, OR

Practice location

Address: 13650 Garden Meadow Dr, Oregon City, OR 97045-6813
Phone: (503) 319-2784

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence 12848 (OR)

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Registry record

NPI: 1962678896
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Apr 2008
Record last updated: 30 Apr 2008

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.