Individual provider · Type 1 NPI

Elizabeth A. Miller, CADC CANDIDATE

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

NPI number 1609317072 Active

Practice location

1631 SW Columbia St
Portland, OR 97201-6025

Call (503) 231-2641 Map

Fax (503) 231-1654

Mailing address

1776 SW Madison St
Portland, OR 97205-1715

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-16-380 (OR)
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 1609317072

Elizabeth A. Miller, CADC CANDIDATE's National Provider Identifier is 1609317072, issued on Mar 17, 2017. 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 Mar 17, 2017.