| Keith A Miller, MS | |
| 1551 Pearl St, Eugene, OR 97401-4010 | |
| (541) 517-9733 | |
| (888) 971-3877 | 
| Full Name | Keith A Miller | 
|---|---|
| Gender | Male | 
| Speciality | Psychologist - Counseling | 
| Location | 1551 Pearl St, Eugene, Oregon | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1598958944 | NPI | - | NPPES | 
| 500811644 | Medicaid | OR | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary | 
| Entity Name | Vista Counseling & Consultation Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1275864985 PECOS PAC ID: 1153748363 Enrollment ID: O20200902002946 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Keith A Miller, MS 1551 Pearl St, Eugene, OR 97401-4010 Ph: (541) 517-9733 | Keith A Miller, MS 1551 Pearl St, Eugene, OR 97401-4010 Ph: (541) 517-9733 | 
| Philip Andrew Fisher, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1170 Pearl St, Eugene, OR 97401 Phone: 541-743-4340 Fax: 541-743-4369 | |
| Thomas F Keefe, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401 Phone: 541-744-0828 Fax: 541-687-6214 | |
| Dr. Kris S Hallenburg, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 66 Club Rd, Ste 120, Eugene, OR 97401 Phone: 541-393-5983 Fax: 541-393-5984 | |
| Erik D Sorensen, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 511 E 12th Ave, Eugene, OR 97401 Phone: 541-345-8749 Fax: 541-344-7595 | |
| Elizabeth Ryann Watson-stites, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 901 East 18th Ave, Eugene, OR 97403 Phone: 541-346-3575 | |
| Kelly L Korach,  Psychologist Medicare: Not Enrolled in Medicare Practice Location: 200 N Monroe St, Eugene, OR 97402 Phone: 541-790-7638 Fax: 541-790-7605 | |
| Mrs. Jenelle M'lou Braun Stone, MA, MS, MS, PH.D. - Psychologist Medicare: Medicare Enrolled Practice Location: 132 E Broadway, Ste 332, Eugene, OR 97401 Phone: 541-915-1600 Fax: 541-359-4433 |