Individual ProviderMadeline MillerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371(503) 729-6177PECOS EnrollmentBased on the most recent information from CMS, provider Madeline 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 ID1659886638Provider TypeIndividualFull NameMiller, MadelineGenderFemaleSole ProprietorNoEnumeration Date12/12/2017Last Updated9/24/2024Contact InformationPractice LocationPractice Address3415 SE Powell Blvd, Portland, OR 97202-3371Phone(503) 729-6177FaxUnlisted FaxMailing LocationMailing Address6812 SW 10th Ave, Portland, OR 97219-2119PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseA11960Oregon