Miller, Clyde Kermit
Miller, Clyde Kermit is an individual health care provider with primary practice located at 10163 Se Sunnyside Rd Ste.490, Clackamas OR 97015-5743. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Miller, Clyde Kermit can be contacted via phone (503) 513-4400.Contact Information
Primary practice address
10163 Se Sunnyside Rd Ste.490
Clackamas OR 97015-5743
Phone: (503) 513-4400
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 001374 | Oregon |
Profile Details
| NPI number | 1831295179 |
|---|---|
| LBN Legal business name | Miller, Clyde Kermit |
| Credentials | M.S., M.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Jul 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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