Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOHN CLARK MILLER, LCSW
Active Sole ProprietorJOHN CLARK MILLER, LCSW is a Clinical Social Worker healthcare provider located in MANZANITA, Oregon. NPI 1174643738 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · MANZANITA, OR
Registration Details
- NPI Number
- 1174643738
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 29, 2007 (19.358954875723 yrs)
- Last Updated
- Apr 23, 2020
- Licenses
-
12-03-71 (OR)L5461 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
60 LANEDA AVENUESUITE 202MANZANITA, OR, 971300000Browse OR providers · Browse ZIP 97130
- Phone
- 9713240061
- Fax
- 9716062001
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.