Individual
CLYDE KERMIT MILLER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., M.S.W.
Contact information
Practice address
10163 SE SUNNYSIDE RD, STE.490, CLACKAMAS, OR 97015-5743
(503) 513-4400
Mailing address
10163 SE SUNNYSIDE RD, STE 490, KAISER PERMANENTE ONE TOWN CENTER, CLACKAMAS, OR 97015-9746
(503) 513-4400
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
001374
OR
Other
Enumeration date
09/15/2006
Last updated
07/16/2007
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