Provider Demographics
NPI:1639722515
Name:CHRISMAN-MILLER, ZOE (LPC)
Entity Type:Individual
Prefix:
First Name:ZOE
Middle Name:
Last Name:CHRISMAN-MILLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:833 NW BUCHANAN AVE
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-6217
Mailing Address - Country:US
Mailing Address - Phone:971-380-9149
Mailing Address - Fax:971-386-1063
Practice Address - Street 1:833 NW BUCHANAN AVE
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330-6217
Practice Address - Country:US
Practice Address - Phone:971-380-9149
Practice Address - Fax:971-386-1063
Is Sole Proprietor?:No
Enumeration Date:2019-07-19
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR500777066Medicaid