Grow, River Miah

Grow, River Miah is an individual health care provider with primary practice located at 5305 River Rd N Ste B , Keizer OR 97303-5324. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Grow, River Miah can be contacted via phone (360) 320-6099.

Contact Information

Primary practice address
5305 River Rd N Ste B Keizer OR 97303-5324
Phone: (360) 320-6099
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MG61256747 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X R7393 Oregon

Profile Details

NPI number 1871242131
LBN Legal business name Grow, River Miah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2022
Last updated Mar 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871242131 NPPES
Oregon MEDICAID 500810951

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