Provider Demographics
NPI:1144503533
Name:MILLER, JILL NOELLE (LMT)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:NOELLE
Last Name:MILLER
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11040 NAVAJO WAY
Mailing Address - Street 2:
Mailing Address - City:OREGON CITY
Mailing Address - State:OR
Mailing Address - Zip Code:97045-9765
Mailing Address - Country:US
Mailing Address - Phone:503-367-7659
Mailing Address - Fax:
Practice Address - Street 1:10558 SE MAIN ST
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7511
Practice Address - Country:US
Practice Address - Phone:503-545-6798
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-22
Last Update Date:2025-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health