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1831295179
CLYDE KERMIT MILLER
CLACKAMAS, OR
NPI
1831295179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: OR 001374)
Enumeration Date
2006-09-15
Last Update Date
2007-07-16
Business Address
-- CLYDE KERMIT MILLER M.S., M.S.W.
10163 SE SUNNYSIDE RD STE.490
CLACKAMAS, OR 97015-5743
Phone number: 503-513-4400
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Mailing Address
-- CLYDE KERMIT MILLER M.S., M.S.W.
10163 SE SUNNYSIDE RD, STE 490 KAISER PERMANENTE ONE TOWN CENTER
CLACKAMAS, OR 97015-9746
Phone number: 503-513-4400
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