| Jared Miracle, PA-C | |
|
5200 Meadows Rd Ste 200, Lake Oswego, OR 97035-0086 | |
| (855) 255-1750 | |
| (855) 255-0905 |
| Full Name | Jared Miracle |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 5200 Meadows Rd Ste 200, Lake Oswego, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205726569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jared Miracle, PA-C Po Box 24081, Seattle, WA 98124-0081 Ph: (855) 255-1750 | Jared Miracle, PA-C 5200 Meadows Rd Ste 200, Lake Oswego, OR 97035-0086 Ph: (855) 255-1750 |
Jessica Jerdin, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 877-533-6717 | |
Amanda Leigh Barclay, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17550 Provost St Ste 201, Lake Oswego, OR 97034 Phone: 503-872-2440 | |
Ms. Stacy R. Hampton, PHARM.D., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16869 65th Ave # 287, Lake Oswego, OR 97035 Phone: 541-808-1093 Fax: 541-738-2106 | |
Megan Elaine Hunt, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 | |
Colin Zelimir Barich, Physician Assistant Medicare: Medicare Enrolled Practice Location: 4103 Mercantile Dr Ste B, Lake Oswego, OR 97035 Phone: 503-850-9940 | |
James Herbert Moorman, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 4000 Carman Dr, Unit 41, Lake Oswego, OR 97035 Phone: 503-473-6345 | |
Mr. Anthony Lance Johnson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4103 Mercantile Dr, Lake Oswego, OR 97035 Phone: 503-850-9940 Fax: 503-850-6709 |