Active NPI
James Miller
- Peer Specialist
- Estacada, OR
National Provider Identifier
1538049564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 25-CRM-4726
- Practice address
- 380 NW 6TH Ave
Estacada, OR 97023-7713 - Phone
- (503) 395-0436
- NPI assigned
- Sep 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-CRM-4726 | OR | Primary |
Addresses
Primary practice location
380 NW 6TH Ave
Estacada, OR 97023-7713
Mailing address
18600 SE McLoughlin Blvd
Milwaukie, OR 97267-6723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25-CRM-4726 | OR | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teen Challenge International Pacific Northwest Centers | Current | Accepting new patients |
Locations
18600 SE McLoughlin Blvd
Portland, OR 97267
Phone (855) 932-3852
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Milwaukie, OR
- NPI 1245784222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1538049564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18600 SE MCLOUGHLIN BLVD",
"city": "MILWAUKIE",
"state": "OR",
"postal_code": "972676723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "380 NW 6TH AVE",
"city": "ESTACADA",
"state": "OR",
"postal_code": "970237713",
"telephone_number": "503-395-0436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "JAMES",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-02",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "25-CRM-4726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Estacada, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.