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Individual

SIGNE LOUISE MILLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
4275 COMMERCIAL ST SE STE 180, SALEM, OR 97302-4087
(503) 363-8068
Mailing address
PO BOX 2288, WALDPORT, OR 97394-2288
(541) 961-3189

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
THW1793
TRADITIONAL HEALTH WORKER REGISTRY: PEER SUPPORT SPECIALIST
OR
Enumeration date
07/02/2019
Last updated
11/27/2023
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