Leisha Miller, MS | |
2700 Stewart Parkway, Annex B, Roseburg, OR 97471 | |
(541) 440-3532 | |
(541) 440-3554 |
Full Name | Leisha Miller |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 2700 Stewart Parkway, Roseburg, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740603356 | NPI | - | NPPES |
500668222 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Tiffany Kettermann, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1003461740 PECOS PAC ID: 0941685184 Enrollment ID: O20220923001810 |
Mailing Address | Practice Location Address |
---|---|
Leisha Miller, MS 272 Medical Loop, Suite E, Roseburg, OR 97471 Ph: (541) 440-3532 | Leisha Miller, MS 2700 Stewart Parkway, Annex B, Roseburg, OR 97471 Ph: (541) 440-3532 |
Hanna Rae Culbertson, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3031 Ne Stephens St, Roseburg, OR 97470 Phone: 541-229-7089 Fax: 541-229-9908 | |
Elisabeth Erin Payne, Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 Se Jackson St, Roseburg, OR 97470 Phone: 541-464-6660 | |
Mr. Dale Edward Williams, MC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Inger C Boyd, MA ED., BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-440-3532 Fax: 541-440-3554 | |
Mae L Hoopes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 W Madrone St, Roseburg, OR 97470 Phone: 541-672-2691 Fax: 541-673-5642 | |
Sarah Rebecca Jo Moon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3099 Ne Diamond Lake Blvd, Roseburg, OR 97470 Phone: 541-672-2691 | |
Lois Francis-wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2700 Nw Stewart Pkwy, Annex A, Roseburg, OR 97471 Phone: 541-672-5667 Fax: 541-672-1048 |