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NPI Code Detail

MEDICARE: TARYN J MILLER

MEDICARE: TARYN J MILLER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1366084436
Entity Type Code : Individual
Provider Name (Legal Business Name) : TARYN J MILLER
Provider Business Mailing Address
First Line : 5408 NE 29TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97211-6244
Country : US
Telephone Number : 503-686-1786
Fax Number :
Provider Business Practice Location Address
First Line : 5408 NE 29TH AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97211-6244
Country : US
Telephone Number : 503-686-1786
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/10/2019
Last Update Date : 02/01/2022

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Directions to “ TARYN J MILLER ” Practice Location

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