Provider Demographics
NPI:1609041037
Name:MILLER, SONIA MARIA (MSW)
Entity Type:Individual
Prefix:MS
First Name:SONIA
Middle Name:MARIA
Last Name:MILLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5600 VAN WELL RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-9324
Mailing Address - Country:US
Mailing Address - Phone:503-949-9707
Mailing Address - Fax:
Practice Address - Street 1:5600 VAN WELL RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:OR
Practice Address - Zip Code:97338-9324
Practice Address - Country:US
Practice Address - Phone:503-949-9707
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-27
Last Update Date:2008-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NONE101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor