| Judy Miller Psyd Llc | |
|
10445 Sw Canterbury Ln Tigard OR 97224-4811 | |
| (503) 720-6372 | |
| (503) 684-9641 |
| Full Name | Judy Miller Psyd Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10445 Sw Canterbury Ln, Tigard, Oregon |
| Authorized Official Name and Position | Judy Warner Miller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5037206372 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy Miller Psyd Llc 10445 Sw Canterbury Ln Tigard OR 97224-4811 Ph: (503) 720-6372 | Judy Miller Psyd Llc 10445 Sw Canterbury Ln Tigard OR 97224-4811 Ph: (503) 720-6372 |
| NPI Number | 1306085311 |
|---|---|
| Provider Enumeration Date | 02/13/2009 |
| Last Update Date | 02/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306085311 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1858 (Oregon) | Primary |
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