SearchWashington225700000X

Mark Miller, LMP

NPI 1861640294 · on the registry since 2008 · sole proprietor

Practice

Address
10312 Rainier Ave Sw
Lakewood, WA 98499
Phone
(253) 820-3292

Registry record

Primary taxonomy
225700000X
225700000X
Also registered as
172V00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2021-10-25

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