MEDICARE: STEVEN MILLER

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
1	101YP2500X	Professional Counselor	C9371	OR

General Provider Information

NPI Number	:	1548782444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MILLER

Provider Business Mailing Address
First Line	:	410 OAK ST
Second Line	:
City	:	PHOENIX
State	:	OR
Zip	:	97535-0046
Country	:	US
Telephone Number	:	541-414-6989
Fax Number	:

Provider Business Practice Location Address
First Line	:	410 OAK ST
Second Line	:
City	:	PHOENIX
State	:	OR
Zip	:	97535-0046
Country	:	US
Telephone Number	:	541-414-6989
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	03/05/2026

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Directions to “ STEVEN MILLER ” Practice Location

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