Individual provider · Type 1 NPI

Miranda Miller

Mental Health Counselor · Portland, OR

NPI number 1598280398 Active

Practice location

12511 SE Raymond St
Portland, OR 97236-3931

Call (503) 761-2580 Map

Fax (503) 761-2584

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 1598280398

Miranda Miller's National Provider Identifier is 1598280398, issued on Aug 14, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 14, 2017.