Organization
PAMELA MILLER PHD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAMELA GAIL MILLER PHD (CLINICAL PSYCHOLOGIST)
(541) 298-3294
Entity
Organization
Contact information
Practice address
321 W 4TH ST, THE DALLES, OR 97058-1807
(541) 298-3294
(541) 298-3294
Mailing address
321 W 4TH ST, THE DALLES, OR 97058-1807
(541) 298-3294
(541) 298-3294
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1394
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603652
—
OR
01
—
DA6080
RAILROAD MEDICARE
OR
Enumeration date
11/30/2005
Last updated
06/29/2011
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