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NPI Code Detail

MEDICARE: KAYLA MILLER LCSW

MEDICARE: KAYLA MILLER LCSW
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 WorkerL16063OR
2101YM0800XMental Health CounselorA13158OR

General Provider Information

NPI Number : 1780378505
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAYLA MILLER LCSW
Provider Business Mailing Address
First Line : 1400 SW 5TH AVE STE 500
Second Line :
City : PORTLAND
State : OR
Zip : 97201-5537
Country : US
Telephone Number : 866-617-6855
Fax Number : 503-346-8015
Provider Business Practice Location Address
First Line : 3181 SW SAM JACKSON PARK RD
Second Line :
City : PORTLAND
State : OR
Zip : 97239-3011
Country : US
Telephone Number : 503-418-5751
Fax Number : 503-418-1377
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 12/10/2025

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Directions to “ KAYLA MILLER LCSW” Practice Location

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