Individual
KRISTINA DIANE PUTTLER-MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LCSW,QMHP
Contact information
Practice address
14195 SW MILLIKAN WAY, BEAVERTON, OR 97005-2307
(503) 644-2545
(503) 644-0379
Mailing address
1720 SW WELLINGTON AVE, PORTLAND, OR 97225-4722
(503) 644-0655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
L2869
OR
Other
Enumeration date
07/26/2006
Last updated
09/11/2025
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