Individual
RIVER MIAH GROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5305 RIVER RD N STE B, KEIZER, OR 97303-5324
(360) 320-6099
Mailing address
9450 SW GEMINI DR. PMB 28613, BEAVERTON, OR 97008-2009
(360) 320-6099
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MG61256747
WA
106H00000X
Marriage & Family Therapist
Primary
T3176
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500810951
—
OR
Enumeration date
03/22/2022
Last updated
08/04/2025
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