Individual
KEITH A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS
Contact information
Practice address
1551 PEARL ST, EUGENE, OR 97401-4010
(541) 517-9733
(888) 971-3877
Mailing address
1551 PEARL ST, EUGENE, OR 97401-4010
(541) 517-9733
(888) 971-3877
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500811644
—
OR
Enumeration date
08/20/2007
Last updated
02/16/2023
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