Individual provider · Type 1 NPI

Miata Miles, MSW, CADC CANDIDATE

Addiction (Substance Use Disorder) Counselor · Portland, OR

NPI number 1366907883 Active

Practice location

1027 E Burnside St
Portland, OR 97214-1328

Call (503) 239-8400 Map

Fax (503) 239-8407

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1366907883

Miata Miles, MSW, CADC CANDIDATE's National Provider Identifier is 1366907883, issued on Feb 8, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Portland, OR. The record was last updated on Feb 8, 2019.