Individual
DR. PAMELA MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
321 W 4TH ST, THE DALLES, OR 97058-1807
(541) 298-3294
Mailing address
321 W 4TH ST, THE DALLES, OR 97058-1807
(541) 298-3294
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1394
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
041473000
REGENCE BCBSO
OR
05
—
236999
—
OR
01
—
251030
MANAGED HEALTH NETWORK
OR
01
—
P00064849
RAILROAD MEDICARE
OR
Enumeration date
02/15/2007
Last updated
06/29/2011
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