Provider Demographics
NPI:1134868201
Name:JOYCE, MILES
Entity type:Individual
Prefix:
First Name:MILES
Middle Name:
Last Name:JOYCE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1942 NW KEARNEY ST STE 31
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-1465
Mailing Address - Country:US
Mailing Address - Phone:503-308-8126
Mailing Address - Fax:
Practice Address - Street 1:1942 NW KEARNEY ST STE 31
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97209-1465
Practice Address - Country:US
Practice Address - Phone:503-308-8126
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-05-27
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist