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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

GRETA LOUISE MIRACLE, PA-C

Active

GRETA LOUISE MIRACLE, PA-C is a Physician Assistant healthcare provider located in VANCOUVER, Washington. NPI 1245485846 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · VANCOUVER, WA

Registration Details

NPI Number
1245485846
Provider Type
Individual
Gender
Female
NPI Issued
Nov 24, 2008 (17.706299409447 yrs)
Last Updated
Nov 24, 2008
License
60058267 (WA)

Practice Information

Address
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA, 986834300
Browse WA providers · Browse ZIP 98683
Phone
3605664840
Fax
3605664841
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in VANCOUVER, WA

Name Credential NPI
ALAN K MIRLY PA 1891780524
JAMES THOMAS STUPFEL PA-C 1437130143
JOHN RUSSELL PRENTICE PA-C 1497736110
LYNN EUGENE CATON PA-C 1477536225
LAURA E BRANDT PA-C 1013997899
ROBERT S BROOKSHIRE PA-C 1295708378
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.