Search › Washington › 101YA0400X
Jordan Miller, SUDP
NPI 1831805753 · on the registry since 2023
Practice
- Address
- 17150 W Main St Ste B
Monroe, WA 98272 - Phone
- (360) 294-8480
Additional practice sites
- 16104 Goldbar Blvd, Gold Bar, WA
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-01-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington