Individual
MR. DELL MELTON MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADCII
Contact information
Practice address
410 NE 4TH ST, SUITE B, MCMINNVILLE, OR 97128-4621
(503) 474-2024
(503) 474-4454
Mailing address
PO BOX 1579, MCMINNVILLE, OR 97128-1579
(503) 474-2024
(503) 474-4454
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-R-15
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165726
—
OR
Enumeration date
03/29/2013
Last updated
03/29/2013
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