Clyde Kermit Miller in Clackamas - Clinical
Clyde Kermit Miller - NPI 1831295179
Clyde Kermit Miller is a Clinical in Clackamas, Oregon. Clyde Kermit Miller practices all healthcare services and medical treatments related to Clinical. The NPI Number for Clyde Kermit Miller is 1831295179. The last update date is 2007-07-16.
Clyde Kermit Miller's current location address is 10163 Se Sunnyside Rd, Ste 490, Clackamas, Oregon. You can contact this provider via phone number 5035134400. The mailing address for Clyde Kermit Miller is 10163 Se Sunnyside Rd, Ste 490, Clackamas, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Kermit Miller |
|---|---|
| Address | 10163 Se Sunnyside Rd, Ste 490, Clackamas, Oregon |
| Phone Number | 5035134400 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.S., M.S. |
NPI Number Detail
| NPI Number | 1831295179 |
|---|---|
| Provider Enumeration Date | 2006-09-15 |
| Last Updated Date | 2007-07-16 |
Provider Mailing Address Detail
| Address | 10163 Se Sunnyside Rd, Ste 490 |
|---|---|
| City | Clackamas |
| State | Oregon (OR) |
| Post Code | 970159746 |
| Phone Number | 5035134400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 1374 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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What is the unique provider identifier assigned to Clyde Kermit Miller?
The Clyde Kermit Miller has been issued the NPI (National Provider Identifier) 1831295179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Clyde Kermit Miller's physical address?
The Clyde Kermit Miller is physically located at 10163 Se Sunnyside Rd, Ste 490, in the city of Clackamas, OR, with the postal code 970159746.
What is Clyde Kermit Miller's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clyde Kermit Miller is Clinical, and the taxonomy code that categorizes this field of expertise is 1041C0700X.
When was the Clyde Kermit Miller's 1831295179 issued?
The Clyde Kermit Miller's 1831295179 was issued on 2006-09-15.
When was the information related to Clyde Kermit Miller most recently updated or refreshed?
The details pertaining to the Clyde Kermit Miller, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-16.