Most Relevant Information
Provider Data
| NPI Number: | 1003559865 |
| Provider Name: | PAYTON JEAN MILLER QMHA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/19/2022 |
| Last Updated: | 04/19/2022 |
Provider Practice Location
331 SE 2ND ST
PENDLETON
OR
978012224
Practice Location Phone/Fax
| Phone: | 5412786330 |
| Fax: |
Provider Mailing Location
PO BOX 469
HEPPNER
OR
978360469
Provider Mailing Phone/Fax
| Phone: | 5416769161 |
| Fax: | 5416765662 |