Individual
ASHLEY MARIE MILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5455 DAISY STREET, TILLAMOOK, OR 97141
(503) 664-0168
Mailing address
PO BOX 361, OCEANSIDE, OR 97134-0361
(971) 727-6488
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L11493
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L11493
LCSW (LICENSED CLINICAL SOCIAL WORKER) LICENSE NUMBER
OR
Enumeration date
06/23/2020
Last updated
03/12/2024
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