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Melissa Miracle, LPC
Professional Counselor in Tualatin, Oregon
NPI 1073219077

Melissa Miracle is a Professional Counselor based in Wilsonville, OR and is specialized in Professional. Melissa Miracle practices in Tualatin, OR and has the professional credentials of LPC. The NPI Number for Melissa Miracle is 1073219077 and holds a License No. C3456 (Oregon).

The current practice location address for Melissa Miracle is 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR and can be reached out via phone at 503-612-1000.

Location: 18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR, 97070-3008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073219077
Provider Name
Melissa Miracle
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
18765 Sw Boones Ferry Rd Ste 100, Tualatin, OR, 97070-3008
Phone Number
503-612-1000
Fax Number
Provider Enumeration Date
02/01/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C3456 01 OR LPC
institution
Provider Business Practice Location Address Details
Address
18765 Sw Boones Ferry Rd Ste 100
City
Tualatin
State
Oregon
Zip
97062-8607
Phone Number
503-612-1000
Fax Number
person
Provider Business Mailing Address Details
Address
18765 Sw Boones Ferry Rd Ste 100
City
Tualatin
State
Oregon
Zip
97062-8607
Phone Number
503-612-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C3456 (Oregon)
Definition
Definition to come...
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