Individual provider · Type 1 NPI

Melissa Miracle, LPC

Professional Counselor · Tualatin, OR

NPI number 1073219077 Active

Practice location

18765 SW Boones Ferry Rd Ste 100
Tualatin, OR 97062-8607

Mailing address

29304 SW Brown Rd
Wilsonville, OR 97070-3008

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XC3456 (OR)

Professional Counselor: Definition to come...

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About NPI 1073219077

Melissa Miracle, LPC's National Provider Identifier is 1073219077, issued on Feb 1, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tualatin, OR. The record was last updated on Feb 1, 2023.