Individual
ELIZABETH A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC CANDIDATE
Contact information
Practice address
1631 SW COLUMBIA ST, PORTLAND, OR 97201-6025
(503) 231-2641
(503) 231-1654
Mailing address
1776 SW MADISON ST, PORTLAND, OR 97205-1715
(971) 386-2278
(503) 224-4494
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
T-16-380
OR
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
03/17/2017
Last updated
03/17/2017
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