Organization
AUSTIN MILLET PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUSTIN MILLET (OWNER)
(801) 921-0806
Entity
Organization
Contact information
Practice address
1825 NW BUCHANAN AVE, CORVALLIS, OR 97330-5756
(801) 921-0806
Mailing address
1825 NW BUCHANAN AVE, CORVALLIS, OR 97330-5756
(801) 921-0806
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/06/2022
Last updated
01/06/2022
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