| Robert S Miller, Licsw, Acsw, Pllc | |
|
275 Se Cabot Dr Suite B206 Oak Harbor WA 98277-3715 | |
| (360) 632-5267 | |
| (866) 885-5921 |
| Full Name | Robert S Miller, Licsw, Acsw, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 275 Se Cabot Dr, Oak Harbor, Washington |
| Authorized Official Name and Position | Robert Scott Miller (OWNER) |
| Authorized Official Contact | 3606325267 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert S Miller, Licsw, Acsw, Pllc 275 Se Cabot Dr Suite B206 Oak Harbor WA 98277-3715 Ph: (360) 632-5267 | Robert S Miller, Licsw, Acsw, Pllc 275 Se Cabot Dr Suite B206 Oak Harbor WA 98277-3715 Ph: (360) 632-5267 |
| NPI Number | 1235369323 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Medicare PECOS PAC ID | 2860548377 |
|---|---|
| Medicare Enrollment ID | O20090925000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235369323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LW00005444 (Washington) | Primary |
| Provider Name | Robert S Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477557338 PECOS PAC ID: 7911053699 Enrollment ID: I20090922000268 |
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