MILES ERICSON CRAIG

PORTLAND, OR
NPI1588376941
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2022-12-16
Last Update Date2022-12-16
Business Address
MILES ERICSON CRAIG
9111 NE SUNDERLAND AVE
PORTLAND, OR 97211-1708
Phone number: 503-280-6646
Mailing Address
MILES ERICSON CRAIG
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number:
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