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NPI Code Detail

MEDICARE: RHEN MOLLY MILES MSW, CSWA

MEDICARE:   RHEN MOLLY MILES  MSW, CSWA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerA5934OR

General Provider Information

NPI Number : 1104586601
Entity Type Code : Individual
Provider Name (Legal Business Name) : RHEN MOLLY MILES MSW, CSWA
Provider Business Mailing Address
First Line : 9025 NE SACRAMENTO ST
Second Line :
City : PORTLAND
State : OR
Zip : 97220-5458
Country : US
Telephone Number : 971-373-7728
Fax Number :
Provider Business Practice Location Address
First Line : 9025 NE SACRAMENTO ST
Second Line :
City : PORTLAND
State : OR
Zip : 97220-5458
Country : US
Telephone Number : 971-373-7728
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/23/2021
Last Update Date : 01/22/2024

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Directions to “ RHEN MOLLY MILES MSW, CSWA” Practice Location

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