Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 5799 | OR |
N | 111N00000X | Chiropractor | CHR.0007336 | CO |
N | 111NR0400X | Rehabilitation Chiropractor | EL.2786437 | CO |
NPI | 1285001073 |
---|---|
Provider Name | Dr. Kendra Faye Miller |
First Address | North Plains, OR 97133-8226 |
Second Address | North Plains, OR 97133-8226 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2015 |
Last Update Date | 31/07/2019 |