Individual provider · Type 1 NPI

Annaleisa Jean Miller

Mental Health Counselor · Portland, OR

NPI number 1346908100 Active

Practice location

17720 NE Halsey St Ste A
Portland, OR 97230-6771

Fax (503) 654-7333

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1346908100

Annaleisa Jean Miller's National Provider Identifier is 1346908100, issued on Nov 29, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 29, 2021.