Miller, Leisha

Miller, Leisha is an individual health care provider with primary practice located at 2700 Stewart Parkway Annex B, Roseburg OR 97471. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Miller, Leisha can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
2700 Stewart Parkway Annex B Roseburg OR 97471
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1740603356
LBN Legal business name Miller, Leisha
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2014
Last updated Dec 22nd, 2021 - about 5 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 1740603356 NPPES
Oregon MEDICAID 500668222

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