| Mrs Andria Miller, LPC | |
| 
					880 Se 82nd Drive, Gladstone, OR 97027-1803  | |
| (503) 659-5515 | |
| (503) 659-1994 | 
| Full Name | Mrs Andria Miller | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Addiction (substance Use Disorder) | 
| Location | 880 Se 82nd Drive, Gladstone, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1457502486 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 294347-6004 (Utah) | Secondary | 
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | C2537 (Oregon) | Primary | 
| Entity Name | Peacehealth Medical Group | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1447207287 PECOS PAC ID: 9032023270 Enrollment ID: O20031113000097  | 
| Entity Name | Recovery Works Nw Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083010094 PECOS PAC ID: 5991049835 Enrollment ID: O20181204003413  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Andria Miller, LPC 1115 Se 164th Ave Dept 358, Vancouver, WA 98683-8004 Ph: (360) 729-1459  | Mrs Andria Miller, LPC 880 Se 82nd Drive, Gladstone, OR 97027-1803 Ph: (503) 659-5515  | 
Sara Padilla, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 82nd Dr Bldg A, Gladstone, OR 97027 Phone: 503-902-6430 Fax: 503-659-1994  | |
Mr. Chase S Melby,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 870 82nd Dr, Gladstone, OR 97027 Phone: 503-659-5515  | |
Joni Casterline, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 890 82nd Dr, Gladstone, OR 97027 Phone: 503-659-5515  | |
Ms. Karen Maline Mindt Howell, LPC Counselor Medicare: Medicare Enrolled Practice Location: 250 Princeton Ave Ste 207, Gladstone, OR 97027 Phone: 503-545-7541 Fax: 503-545-7541  | |
Brian J Hanni, LPC Counselor Medicare: Medicare Enrolled Practice Location: 890 82nd Dr, Gladstone, OR 97027 Phone: 503-659-5515  | |
Ms. Barbara Collins,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 880 82nd Dr, Annex A, Gladstone, OR 97027 Phone: 503-659-5515 Fax: 503-210-2475  | |
Daniel Hazen,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 18000 Webster Rd, Gladstone, OR 97027 Phone: 503-722-4470  |