Most Relevant Information
Provider Data
| NPI Number: | 1003493370 |
| Provider Name: | TREVOR ALLEN MILLER |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/24/2021 |
| Last Updated: | 03/24/2021 |
Provider Practice Location
290 WILLAMETTE ST
UMATILLA
OR
978826601
Practice Location Phone/Fax
| Phone: | 5419920880 |
| Fax: | 5419922820 |
Provider Mailing Location
702 SUNSET DR
ONTARIO
OR
979143121
Provider Mailing Phone/Fax
| Phone: | 5418899167 |
| Fax: | 5418897873 |