| Sahara Miller Counseling Llc | |
|
5305 River Rd North Ste B Keizer OR 97303 | |
| (503) 405-8088 | |
| Not Available |
| Full Name | Sahara Miller Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5305 River Rd North Ste B, Keizer, Oregon |
| Authorized Official Name and Position | Sahara Beth Miller (OWNER) |
| Authorized Official Contact | 5034058088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sahara Miller Counseling Llc Po Box 18133 Portland OR 97218 Ph: (503) 405-8088 | Sahara Miller Counseling Llc 5305 River Rd North Ste B Keizer OR 97303 Ph: (503) 405-8088 |
| NPI Number | 1871178657 |
|---|---|
| Provider Enumeration Date | 03/13/2021 |
| Last Update Date | 09/07/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 1254878960 |
|---|---|
| Medicare Enrollment ID | O20240730004664 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871178657 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sahara Beth Miller |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538516455 PECOS PAC ID: 2163969874 Enrollment ID: I20241009002658 |
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