MR. JORDAN DAVID MILLER SUDP
NPI 1831805753
Counselor - Addiction (Substance Use Disorder) in Monroe, WA

Q: What is Jordan Miller's NPI number?

The NPI number for Jordan Miller is 1831805753. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Q: What is Jordan Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Miller was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 24, 2023

17150 W MAIN ST STE B, MONROE, WA 98272(360) 294-8480 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jordan David Miller Sudp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. JORDAN DAVID MILLER SUDP (NPI 1831805753) is an individual addiction (substance use disorder) provider in Monroe, Washington, licensed in Washington (CP60505994) and active in the NPI registry since January 2023. He maintains a secondary practice location in Gold Bar.

NPPES Registry Identity

NPI1831805753

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameMR. JORDAN DAVID MILLERCredential: SUDP

Location Address17150 W MAIN ST STE BMonroe, WA 98272-1918

Mailing Address909 W Main St Ste 102Monroe, WA 98272-2031 · (206) 552-0882 · Fax (949) 955-5758

Phone(360) 294-8480

Sole ProprietorNo

Enumeration DateJanuary 24, 2023

NPPES CertifiedJanuary 24, 2023

✔ NPI 1831805753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in WA · CP60505994

17150 W MAIN ST STE B, Monroe, WA 98272

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Secondary Practice Location 1

Location 116104 Goldbar BlvdGold Bar, WA 98251-9577 · Phone (425) 698-3443 · Fax (425) 984-0995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Miller's NPI number?

The NPI number for Jordan Miller is 1831805753. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Jordan Miller located?

Jordan Miller practices at 17150 W Main St Ste B, Monroe, WA 98272. The listed phone number is (360) 294-8480.

What is Jordan Miller's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jordan Miller was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.