Individual
MELISSA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1190 PRAIRIE GRASS AVE NE, KEIZER, OR 97303-7863
(503) 782-9415
Mailing address
1190 PRAIRIE GRASS AVE NE, KEIZER, OR 97303-7863
(503) 782-9415
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R8434
OR
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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