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Contact Information

NICOLE M MILLER, HSPP
8495 CRATER LAKE HWY
BLDG. 240 RM 109 -MAIL STOP 116
WHITE CITY, OR97503
 Phone: 541-826-2111
 Fax: 541-830-3516
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Service

103TH0100X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NICOLE M MILLER · (Female)

NPI # 1942501705
Status Active
Credentials HSPP
Entity Individual
Enumeration date 11/10/2010
Last updated 03/11/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 20042459A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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