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NPI Code Detail

MEDICARE: MRS. BECKY LYNN MILLER

MEDICARE:  MRS. BECKY LYNN 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1548703184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BECKY LYNN MILLER
Provider Business Mailing Address
First Line : 272 NW MEDICAL LOOP
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-5597
Country : US
Telephone Number : 541-580-3337
Fax Number :
Provider Business Practice Location Address
First Line : 272 NW MEDICAL LOOP
Second Line :
City : ROSEBURG
State : OR
Zip : 97471-5597
Country : US
Telephone Number : 541-580-3337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 11/30/2016

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Directions to “ MRS. BECKY LYNN MILLER ” Practice Location

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