Individual
DR. DEBRA A MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3731 SE 164TH AVE, PORTLAND, OR 97236-1709
(503) 251-1952
(503) 251-1751
Mailing address
3731 SE 164TH AVE, PORTLAND, OR 97236-1709
(503) 251-1952
(503) 251-1751
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
OR 1124
OR
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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