Individual
MICHAEL MILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
600 SOUTH SECOND, CENTRAL POINT, OR 97502
(541) 789-4000
(541) 789-4023
Mailing address
100 E. MAIN STREET, SUITE C, MEDFORD, OR 97501
(541) 789-5526
(541) 789-5203
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L3203
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297586
—
OR
Enumeration date
12/08/2006
Last updated
07/08/2007
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