Provider Demographics
NPI:1023104452
Name:DANIELS-MILLER, VICTORIA J (MSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:J
Last Name:DANIELS-MILLER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:132 BRAE BURN DR
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2032
Mailing Address - Country:US
Mailing Address - Phone:541-485-3952
Mailing Address - Fax:541-683-5064
Practice Address - Street 1:3003 WILLAMETTE ST
Practice Address - Street 2:TRILLIUM, SUITE 10
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-3241
Practice Address - Country:US
Practice Address - Phone:541-344-6922
Practice Address - Fax:541-344-6922
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL0010141041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical