Individual
MS. BROOKE MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
4110 PACIFIC AVE, SUITE 102, FOREST GROVE, OR 97116-2383
(503) 601-5400
(503) 601-5410
Mailing address
4110 PACIFIC AVE, SUITE 102, FOREST GROVE, OR 97116-2383
(503) 601-5400
(503) 601-5410
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
ASW 17574
CA
1041C0700X
Clinical Social Worker
Primary
L4757
OR
Other
Enumeration date
07/02/2007
Last updated
08/25/2014
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