Lysa R. Miley

Social Worker · Ontario, OR

Individual Active NPI

NPI number 1205506540

Practice location

992 W Idaho Ave
Ontario, OR 97914-2111
Phone
(208) 741-3336
Fax
(541) 216-5066

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NPI record

NPI
1205506540
Entity type
Individual (Type 1)
Enumeration date
September 17, 2021
Last updated
September 17, 2021
Certified
September 17, 2021
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X — —

Mailing address

3720 W Woodmont Dr
Meridian, ID 83646-1033
Phone
(209) 703-0050

About Lysa Miley

Lysa R. Miley is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 992 W Idaho Ave, Ontario, OR 97914-2111. The NPI number 1205506540 was assigned on September 17, 2021 and the record was last updated on September 17, 2021.

Frequently asked questions

What is the NPI number of Lysa R. Miley?

The NPI number is 1205506540.

What is the phone number of Lysa Miley?

The phone number listed for the practice location is (208) 741-3336.

Where is Lysa Miley located?

992 W Idaho Ave, Ontario, OR 97914-2111.

What is the taxonomy code for Lysa Miley?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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