Organization
ALLIED HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ELIZABETH ANN MILLER CADC I (COUNSELOR I)
(503) 684-8159
Entity
Organization
Contact information
Practice address
10763 SW GREENBURG RD, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Mailing address
2901 SE 119TH AVE, PORTLAND, OR 97266-1613
(971) 302-8791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028383
—
OR
Enumeration date
12/04/2019
Last updated
12/04/2019
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