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Individual

VINCENT MICHAEL MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663
Mailing address
1904 SE DIVISION ST, PORTLAND, OR 97202-1146
(503) 517-8663

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
1041S0200X
School Social Worker

Other

Enumeration date
09/01/2016
Last updated
05/17/2017
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