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NPI Code Detail

MEDICARE: MR. AARON MILLER

MEDICARE: MR. AARON 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
1225200000XPhysical Therapy Assistant08884OR

General Provider Information

NPI Number : 1417362054
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. AARON MILLER
Provider Business Mailing Address
First Line : 25117 SW PARKWAY AVE STE D
Second Line :
City : WILSONVILLE
State : OR
Zip : 97070-9697
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 835 SW 11TH ST
Second Line :
City : NEWPORT
State : OR
Zip : 97365-4802
Country : US
Telephone Number : 541-265-5356
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/23/2014
Last Update Date : 06/23/2014

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Directions to “ MR. AARON MILLER ” Practice Location

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