Mr Alden Lake Miller, MS is a
Marriage & Family Therapist based in Coos Bay, Oregon. Mr Alden Lake Miller is licensed to practice in Oregon (license number T0064) and his current practice location is
486 Schetter Ave, Coos Bay, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 521-7153.
NPI number for Mr Alden Lake Miller is 1205087459 and his current mailing address is Po Box 1056, 486 Schetter Av Coos Bay Or 974203366 (no Mail), North Bend, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1205087459.
Healthcare Provider's Profile
| Full Name | Mr Alden Lake Miller |
|---|
| Gender | Male |
|---|
| Speciality | Marriage & Family Therapist |
|---|
| Location | 486 Schetter Ave, Coos Bay, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205087459
- Provider Enumeration Date: 10/07/2008
- Last Update Date: 02/27/2012
Medical Identifiers
Medical identifiers for Mr Alden Lake Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205087459 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 24867 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 94-10-114 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 011092 (Oregon) | Secondary |
| 101YP2500X | Counselor - Professional | C0770 (Oregon) | Secondary |
| 106H00000X | Marriage & Family Therapist | T0064 (Oregon) | Primary |
| 106H00000X | Marriage & Family Therapist | 105700-3902 (Utah) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Alden Lake Miller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Alden Lake Miller, MS
Po Box 1056, 486 Schetter Av Coos Bay Or 974203366 (no Mail),
North Bend, OR 97459-0003
Ph: (541) 521-7153 | Mr Alden Lake Miller, MS
486 Schetter Ave,
Coos Bay, OR 97420-3366
Ph: (541) 521-7153 |
Reviews and Comments