Individual ProviderVincent Michael MillerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1904 SE Division St, Portland, OR 97202-1146(503) 517-8663PECOS EnrollmentBased on the most recent information from CMS, provider Vincent Michael Miller does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1619424041Provider TypeIndividualFull NameMiller, Vincent MichaelCredentialMSWGenderMaleSole ProprietorNoEnumeration Date9/1/2016Last Updated5/17/2017Contact InformationPractice LocationPractice Address1904 SE Division St, Portland, OR 97202-1146Phone(503) 517-8663FaxUnlisted FaxMailing LocationMailing Address1904 SE Division St, Portland, OR 97202-1146Phone(503) 517-8663FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode1041S0200XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer