Miller, Keith A

Miller, Keith A is an individual health care provider with primary practice located at 1551 Pearl St , Eugene OR 97401-4010. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Miller, Keith A can be contacted via phone (541) 517-9733.

Contact Information

Primary practice address
1551 Pearl St Eugene OR 97401-4010
Fax: (888) 971-3877
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1598958944
LBN Legal business name Miller, Keith A
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2007
Last updated Feb 16th, 2023 - about 2 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 1598958944 NPPES
Oregon MEDICAID 500811644

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