Active NPI
Megan Miller, BA, QMHA-R
- Peer Specialist
- Gladstone, OR
National Provider Identifier
1598564155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 113419
- Practice address
- 17777 Webster Rd
Gladstone, OR 97027-1499 - Phone
- (503) 655-3636
- NPI assigned
- Mar 7, 2025
- Sex
- Female
- 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 | 113419 | OR | Primary |
Addresses
Primary practice location
17777 Webster Rd
Gladstone, OR 97027-1499
Mailing address
6200 SE King Rd
Portland, OR 97222-2891
Phone (503) 546-6377
Other practice location 1
3606 SE Lake Rd
Milwaukie, OR 97222-6949
Phone (503) 353-5725
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 113419 | OR | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1598564155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 SE KING RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972222891",
"telephone_number": "503-546-6377",
"fax_number": "503-546-9397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17777 WEBSTER RD",
"city": "GLADSTONE",
"state": "OR",
"postal_code": "970271499",
"telephone_number": "503-655-3636"
}
],
"practiceLocations": [
{
"address_1": "3606 SE Lake Rd",
"address_purpose": "LOCATION",
"city": "Milwaukie",
"state": "OR",
"postal_code": "972226949",
"country_code": "US",
"telephone_number": "503-353-5725",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MILLER",
"first_name": "MEGAN",
"credential": "BA, QMHA-R",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OR",
"license": "113419",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gladstone, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.