Clyde Kermit Miller II, M.S., M.S.W.

NPI #1831295179 in Clackamas, Oregon

Provider Information

NPI Number
1831295179
Entity Type
Individual
Name
Clyde Kermit Miller II, M.S., M.S.W.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Social Worker - Clinical
Credential
M.S., M.S.W.
Enumeration Date
Sep 15, 2006
Last Updated
Jul 16, 2007

Practice Location

Address
10163 SE SUNNYSIDE RD
Address 2
STE.490
State
Oregon
ZIP Code
97015-5743
Phone
(503) 513-4400

Specialties & Taxonomy Codes

Specialty
Social Worker - ClinicalClinical

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