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William Jaden Micha Miller, PSS

Peer Specialist in Klamath Falls, OR. Individual provider (NPI-1).

NPI number1932077286
StatusActive
Last updated in NPPESOct 28, 2025

Details

NPI
1932077286
Entity type
Individual (NPI-1)
Name
William Jaden Micha Miller
Credential
PSS
Sex
Male
Sole proprietor
Yes
Enumeration date
Oct 28, 2025
Certification date
Oct 28, 2025
Last updated
Oct 28, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist115210ORYes

Practice location

905 Main St Ste 200b
Klamath Falls, OR 97601-6066

Phone 541-887-0751 · Fax 541-897-9990

Mailing address

2545 Union St
Klamath Falls, OR 97601-4328

Phone 541-887-0751 · Fax 541-897-9990

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