SHANON LEA MILLER

FOREST GROVE, OR
NPI1396191391
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: OR  09291)
Enumeration Date2016-05-09
Last Update Date2016-05-09
Business Address
MISS SHANON LEA MILLER
3900 PACIFIC AVE
FOREST GROVE, OR 97116-2226
Phone number: 503-359-0449
Mailing Address
MISS SHANON LEA MILLER
25117 SW PARKWAY AVE SUITE D
WILSONVILLE, OR 97070-9697
Phone number: