| Brandon Scott Miller, | |
|
213 Broadmore St, Enterprise, OR 97828-1216 | |
| (541) 398-8188 | |
| Not Available |
| Full Name | Brandon Scott Miller |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 213 Broadmore St, Enterprise, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144796178 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22-06-10445 (Oregon) | Secondary |
| 101YM0800X | Counselor - Mental Health | L11633 (Oregon) | Primary |
| Entity Name | Wallowa Valley Center For Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043249907 PECOS PAC ID: 0143228536 Enrollment ID: O20061120000068 |
| Entity Name | Center For Human Development Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114051315 PECOS PAC ID: 3678578663 Enrollment ID: O20130410000378 |
| Entity Name | Winding Waters Medical Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922475219 PECOS PAC ID: 8224346713 Enrollment ID: O20160113000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Brandon Scott Miller, Po Box 268, Enterprise, OR 97828-0268 Ph: () - | Brandon Scott Miller, 213 Broadmore St, Enterprise, OR 97828-1216 Ph: (541) 398-8188 |
Vanessa Lewis, Counselor Medicare: Medicare Enrolled Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 | |
Mr. Charles C. Courtney Strickland, MSW, LCSW, LCAS, CCS Counselor Medicare: Medicare Enrolled Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 542-426-4524 | |
Allen Schnetzky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 Sw First St, Enterprise, OR 97828 Phone: 541-263-1963 | |
Michael Sorrells, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 | |
Miss Kathryn Elizabeth Kemp, MSW Counselor Medicare: Medicare Enrolled Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-4524 | |
Josie Ambroson, M.S.W Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 458-292-2089 |