John Clark Miller in Manzanita - Addiction (substance Use Disorder)
John Clark Miller - NPI 1174643738
John Clark Miller is a Addiction (substance Use Disorder) in Manzanita, Oregon. John Clark Miller practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for John Clark Miller is 1174643738. The last update date is 2020-04-23.
John Clark Miller's current location address is 60 Laneda Avenue, Manzanita, Oregon. You can contact this provider via phone number 9713240061 and fax number 9716062001. The mailing address for John Clark Miller is 60 Laneda Avenue, Manzanita, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Clark Miller |
|---|---|
| Address | 60 Laneda Avenue, Manzanita, Oregon |
| Phone Number | 9713240061 |
| Fax Number | 9716062001 |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1174643738 |
|---|---|
| Provider Enumeration Date | 2007-03-29 |
| Last Updated Date | 2020-04-23 |
Provider Mailing Address Detail
| Address | 60 Laneda Avenue |
|---|---|
| City | Manzanita |
| State | Oregon (OR) |
| Post Code | 971300000 |
| Phone Number | 9713240061 |
| Fax Number | 9716062001 |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 1971-12-03 0 |
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Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500671647 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to John Clark Miller by the Centers for Medicare & Medicaid Services?
The John Clark Miller has been assigned the NPI (National Provider Identifier) 1174643738 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where John Clark Miller is physically located?
The John Clark Miller is situated at the following address: 60 Laneda Avenue, Manzanita, OR 971300000.
What is John Clark Miller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for John Clark Miller is Addiction (substance Use Disorder), and the taxonomy code that classifies this field of practice is 101Ya0400X.
When did the John Clark Miller receive its 1174643738?
The John Clark Miller was issued its 1174643738 on 2007-03-29, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to John Clark Miller most recently updated or revised?
The details related to John Clark Miller, including its address, specialty, and other relevant information, were last updated or revised on 2020-04-23.
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