Individual
HENRY MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1734 SE LADD AVE, PORTLAND, OR 97214-4733
(503) 227-3358
Mailing address
1734 SE LADD AVE, PORTLAND, OR 97214-4733
(503) 227-3358
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0920
OR
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
0920
OR
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
—
Other
Enumeration date
01/15/2007
Last updated
09/11/2025
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