Roberta Lee Miller, MAC, SAP, CADC III is a
Community/behavioral Health based in Portland, Oregon. Roberta Lee Miller is licensed to practice in Oregon (license number ) and her current practice location is
811 Nw 20th Ave, Suite 103c, Portland, Oregon. She can be reached at her office (for appointments etc.) via phone at
(503) 816-0345.
NPI number for Roberta Lee Miller is 1982927570 and her current mailing address is Po Box 10924, Portland, Oregon. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1982927570.
Healthcare Provider's Profile
| Full Name | Roberta Lee Miller |
|---|
| Gender | Female |
|---|
| Speciality | Community/behavioral Health |
|---|
| Location | 811 Nw 20th Ave, Portland, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1982927570
- Provider Enumeration Date: 03/10/2010
- Last Update Date: 09/13/2013
Medical Identifiers
Medical identifiers for Roberta Lee Miller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1982927570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 507104 (* (Not Available)) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00005706 (Washington) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 05-11-98 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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. Roberta Lee 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 |
|---|
Roberta Lee Miller, MAC, SAP, CADC III
Po Box 10924,
Portland, OR 97296
Ph: (503) 816-0345 | Roberta Lee Miller, MAC, SAP, CADC III
811 Nw 20th Ave, Suite 103c,
Portland, OR 97209
Ph: (503) 816-0345 |
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