IndividualActive
Carol Miller
NPI 1558458174 · Optician · Portland, OR
Provider details
- NPI number
- 1558458174
- Entity type
- Individual
- Primary specialty
- OpticianEye and Vision Services Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Eye and Vision Services Providers
Practice location
3600 N Interstate Ave
Portland, OR 97227-1106
Phone: (503) 249-3429
Approximate (ZIP-level) locationGet directions
Mailing address
9462 N Wall Ave
Portland, OR 97203-2666
Registry dates
- Enumerated
- 2006-10-06
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.