CLYDE KERMIT MILLER

CLACKAMAS, OR
NPI1831295179
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  001374)
Enumeration Date2006-09-15
Last Update Date2007-07-16
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
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