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NPI Code Detail

MEDICARE: SAMUEL ALBERT MILLER DPT

MEDICARE: SAMUEL ALBERT MILLER DPT
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
1225100000XPhysical Therapist64871OR

General Provider Information

NPI Number : 1881391878
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL ALBERT MILLER DPT
Provider Business Mailing Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number : 541-266-4526
Provider Business Practice Location Address
First Line : 1900 WOODLAND DR
Second Line :
City : COOS BAY
State : OR
Zip : 97420-2099
Country : US
Telephone Number : 541-267-5151
Fax Number : 541-266-4526
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2023
Last Update Date : 12/09/2025

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Directions to “ SAMUEL ALBERT MILLER DPT” Practice Location

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