Individual
MS. MARY MARGARET MILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
880 82ND DR, GLADSTONE, GLADSTONE, OR 97027-1803
(503) 659-5515
Mailing address
12248 SE MOUNTAIN SUN DR, CLACKAMAS, OR 97015-6214
(503) 698-3537
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000WDBCH
GROUP MEDICARE
OR
05
—
164936
—
OR
Enumeration date
04/03/2009
Last updated
12/03/2025
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