Individual provider · Type 1 NPI

Miles Fletcher

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1730821687 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (541) 990-5956 Map

Mailing address

4120 NE Beaumont St
Portland, OR 97212-2914

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1730821687

Miles Fletcher's National Provider Identifier is 1730821687, issued on Apr 11, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Apr 11, 2022.