| NPI | 1013991405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA GAIL MILLER Clinical Psychologist 541-298-3294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 1394) |
| Enumeration Date | 2005-11-30 |
| Last Update Date | 2011-06-29 |