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NPI Code Detail

MEDICARE: CHANDRA ALEXANDRIA MILLER LMT

MEDICARE: CHANDRA ALEXANDRIA MILLER LMT
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
1225700000XMassage Therapist24543OR

General Provider Information

NPI Number : 1740827542
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANDRA ALEXANDRIA MILLER LMT
Provider Business Mailing Address
First Line : PO BOX 2266
Second Line :
City : SISTERS
State : OR
Zip : 97759-2266
Country : US
Telephone Number : 541-390-8136
Fax Number :
Provider Business Practice Location Address
First Line : 335 NE 4TH ST
Second Line :
City : BEND
State : OR
Zip : 97701-5162
Country : US
Telephone Number : 541-668-7506
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2019
Last Update Date : 11/30/2019

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Directions to “ CHANDRA ALEXANDRIA MILLER LMT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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