Miller, Roberta Lee

Miller, Roberta Lee is an sole proprietor health care provider with primary practice located at 811 Nw 20Th Ave Suite 103C, Portland OR 97209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Miller, Roberta Lee can be contacted via phone (503) 816-0345.

Contact Information

Primary practice address
811 Nw 20Th Ave Suite 103C Portland OR 97209
Phone: (503) 816-0345
Fax: (503) 293-6188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 507104
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP00005706 Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 05-11-98 Oregon
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Agencies / Community/Behavioral Health 251S00000X Oregon

Profile Details

NPI number 1982927570
LBN Legal business name Miller, Roberta Lee
Credentials MAC, SAP, CADC III
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 10th, 2010
Last updated Sep 13th, 2013 - about 12 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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