Provider Demographics
NPI:1083352041
Name:MILLER, LILLIANA ASH (AAC)
Entity Type:Individual
Prefix:
First Name:LILLIANA
Middle Name:ASH
Last Name:MILLER
Suffix:
Gender:F
Credentials:AAC
Other - Prefix:
Other - First Name:CONNOR
Other - Middle Name:ASHTON
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNA
Mailing Address - Street 1:5197 NW LOWER RIVER ROAD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98660
Mailing Address - Country:US
Mailing Address - Phone:360-205-1222
Mailing Address - Fax:
Practice Address - Street 1:5197 NW LOWER RIVER ROAD
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98660
Practice Address - Country:US
Practice Address - Phone:360-205-1222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator