person
Mrs. Joanne Lee Miracle, ANP-C;GNP-C
Adult Health Nurse Practitioner in Milwaukie, Oregon
NPI 1922043462

Joanne Lee Miracle is an Adult Health Nurse Practitioner based in Milwaukie, OR and is specialized in Adult Health. Joanne Lee Miracle practices in Milwaukie, OR and has the professional credentials of ANP-C;GNP-C. The NPI Number for Joanne Lee Miracle is 1922043462 and holds a License No. 200050105NP (Oregon).

The current practice location address for Joanne Lee Miracle is 4560 Se International Way Ste 100, Milwaukie, OR and can be reached out via phone at 971-206-5179 and via fax at 503-905-0495. You can also correspond with Joanne Lee Miracle through the mailing address at 4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR - 97222-4628 (mailing address contact number: 971-206-5179).

Location: 4560 Se International Way Ste 100, Milwaukie, OR, 97222-4628
person
Provider Profile Details
NPI Number
1922043462
Provider Name
Joanne Lee Miracle
Credential
ANP-C;GNP-C
Provider Entity Type
Individual
Gender
Female
Address
4560 Se International Way Ste 100, Milwaukie, OR, 97222-4628
Phone Number
971-206-5179
Fax Number
503-905-0495
Provider Enumeration Date
06/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
113099 05 OR
institution
Provider Business Practice Location Address Details
Address
4560 Se International Way Ste 100
City
State
Zip
97222-4628
Phone Number
971-206-5179
Fax Number
503-905-0495
person
Provider Business Mailing Address Details
Address
4560 Se International Way Ste 100
City
State
Zip
97222-4628
Phone Number
971-206-5179
Fax Number
503-905-0495
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
200050105NP (Oregon)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
200050105NP (Oregon)
Definition
Definition to come...
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