| Pamela Miller Phd Pc | |
|
321 W 4th St The Dalles OR 97058-1807 | |
| (541) 298-3294 | |
| (541) 298-3294 |
| Full Name | Pamela Miller Phd Pc |
|---|---|
| Speciality | Psychologist |
| Location | 321 W 4th St, The Dalles, Oregon |
| Authorized Official Name and Position | Pamela Gail Miller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5412983294 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Miller Phd Pc 321 W 4th St The Dalles OR 97058-1807 Ph: (541) 298-3294 | Pamela Miller Phd Pc 321 W 4th St The Dalles OR 97058-1807 Ph: (541) 298-3294 |
| NPI Number | 1013991405 |
|---|---|
| Provider Enumeration Date | 11/30/2005 |
| Last Update Date | 06/29/2011 |
| Medicare PECOS PAC ID | 5698768299 |
|---|---|
| Medicare Enrollment ID | O20040407001655 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013991405 | NPI | - | NPPES |
| 500603652 | Medicaid | OR | |
| DA6080 | Other | OR | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1394 (Oregon) | Primary |
| Provider Name | Pamela Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851434823 PECOS PAC ID: 3678566270 Enrollment ID: I20040527001381 |
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