Miller, Roberta Lee
Miller, Roberta Lee is an sole proprietor health care provider with primary practice located at 811 Nw 20Th Ave Suite 103C, Portland OR 97209. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is her primary health care specialty. Miller, Roberta Lee can be contacted via phone (503) 816-0345.Contact Information
Primary practice address
811 Nw 20Th Ave Suite 103C
Portland OR 97209
Phone: (503) 816-0345
Fax: (503) 293-6188
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 507104 | |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | CP00005706 | Washington |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 05-11-98 | Oregon |
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Agencies / Community/Behavioral Health | 251S00000X | Oregon |
Profile Details
| NPI number | 1982927570 |
|---|---|
| LBN Legal business name | Miller, Roberta Lee |
| Credentials | MAC, SAP, CADC III |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2010 |
| Last updated | Sep 13th, 2013 - about 13 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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