Denise Millage, CRM

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-CRM2120 Issued in OR

Practice address

1817 NE 6TH Avenue
Portland, OR 97212-3906

Phone

(503) 719-7985

Fax

(503) 994-5262

NPI assigned

Mar 7, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Oregon Change Clinic, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Portland, OR
  • NPI 1881293215
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1992563720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1817 NE 6TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123906",
            "telephone_number": "503-719-7985",
            "fax_number": "503-994-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1817 NE 6TH AVENUE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972123906",
            "telephone_number": "503-719-7985",
            "fax_number": "503-994-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLAGE",
        "first_name": "DENISE",
        "credential": "CRM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "23-CRM2120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Ann Miles
• Leslie R Milfred, DDS
• Michael Terry Miliucci, MA - COUNSELING
• Belma Miljkovic, MSW
• Leanna May Mill, LPC-A
• Juan Carlos Millan, M.D.
• Sara Grace Millan, SLP
• Larkin Millar
• Millbod Investments
• Andrea Millen, PSYD

• Peer Specialist in Portland, OR
• Providers in Portland, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.