MELISSA MIRACLE LPC NPI 1073219077

NPI Information

NPI: 1073219077
Provider Name: MELISSA MIRACLE, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
18765 SW BOONES FERRY RD STE 100
TUALATIN, OR
ZIP 97062
Phone: (503) 612-1000
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Melissa Miracle, LPC is a professional counselor in Tualatin, OR. Melissa Miracle, LPC NPI is 1073219077. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18765 SW BOONES FERRY RD STE 100
TUALATIN, OR
ZIP 97062-607
Phone: (503) 612-1000

The enumeration date for this NPI number is 2/1/2023 and was last updated on 2/1/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	C3456	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	C3456	OTHER	OREGON	LPC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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