Individual provider · Type 1 NPI

Greta Louise Miracle, PA-C

Physician Assistant · Vancouver, WA

NPI number 1245485846 Active

Practice location

16703 SE Mcgillivray Blvd
Vancouver, WA 98683-4300

Fax (360) 566-4841

Mailing address

405 NE 80th Ave
Portland, OR 97213-7019

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X60058267 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1245485846

Greta Louise Miracle, PA-C's National Provider Identifier is 1245485846, issued on Nov 24, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Vancouver, WA. The record was last updated on Nov 24, 2008.