Healthcare Provider Details

I. General information

NPI: 1326491333
Provider Name (Legal Business Name): STEVEN MILLER PSYD.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: STEVE MILLER PSYD.

II. Dates (important events)

Enumeration Date: 07/14/2016
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 CENTERPOINTE DR STE 320
LAKE OSWEGO OR
97035-8696
US

IV. Provider business mailing address

5 CENTERPOINTE DR STE 320
LAKE OSWEGO OR
97035-8696
US

V. Phone/Fax

Practice location:
  • Phone: 971-213-2837
  • Fax:
Mailing address:
  • Phone: 971-213-2837
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number3917
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: