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NPI Code Detail

MEDICARE: DR. BRYCE MILAM D.C.

MEDICARE: DR. BRYCE MILAM D.C.
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
1111N00000XChiropractor271827OR

General Provider Information

NPI Number : 1801825526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRYCE MILAM D.C.
Provider Business Mailing Address
First Line : 11125 NE SANDY BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97220-2555
Country : US
Telephone Number : 503-257-3377
Fax Number : 503-257-3432
Provider Business Practice Location Address
First Line : 11125 NE SANDY BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97220-2555
Country : US
Telephone Number : 503-257-3377
Fax Number : 503-257-3432
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2006
Last Update Date : 07/08/2007

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Directions to “ DR. BRYCE MILAM D.C.” Practice Location

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