Individual provider · Type 1 NPI

Miranda Lee Markesteyn, PA

Surgical Physician Assistant · Corvallis, OR

NPI number 1144611971 Active

Practice location

3640 NW Samaritan Dr Ste 120
Corvallis, OR 97330-3738

Fax (540) 536-0235

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 1870 Amherst St Ste 2B, Winchester, VA 22601 · (540) 536-6721
  • 2006 Health Campus Dr Fl 2, Rockingham, VA 22801-8679 · (540) 689-5555

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XPA201988 (OR)
Surgical Physician Assistant 363AS0400XPA9108211 (FL)
Physician Assistant 363A00000XPA60613313 (WA)
Surgical Physician Assistant 363AS0400X0110006164 (VA)

Surgical Physician Assistant: Definition to come...

7 other providers at this address

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About NPI 1144611971

Miranda Lee Markesteyn, PA's National Provider Identifier is 1144611971, issued on Feb 16, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Corvallis, OR. The record was last updated on Oct 9, 2025.