GRETA LOUISE MIRACLE

VANCOUVER, WA
NPI1245485846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  60058267)
Enumeration Date2008-11-24
Last Update Date2008-11-24
Business Address
-- GRETA LOUISE MIRACLE PA-C
16703 SE MCGILLIVRAY BLVD
VANCOUVER, WA 98683-4300
Phone number: 360-566-4840
Mailing Address
-- GRETA LOUISE MIRACLE PA-C
405 NE 80TH AVE
PORTLAND, OR 97213-7019
Phone number: 206-313-1113
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