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Greta L. Miracle, PA-C

Physician Assistant · Vancouver, WA

UnclaimedPA-CNPI 1245485846
Primary taxonomy
363A00000X
Enumerated
2008-11-24
Practice location
Vancouver, WA
Last NPPES update
2008-11-24

State licenses

  • WA · Physician assistant · NPPES self-reportedListed on NPI record
  • WA · Physician assistant · Physician Assistant LicenseActivethrough 2028

“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.

Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.