Individual
CLARKE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
Mailing address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C6513
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
08/01/2017
Last updated
12/12/2025
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