Joanne Lee Miracle in Milwaukie - Adult Health
Joanne Lee Miracle - NPI 1922043462
Joanne Lee Miracle is a Adult Health in Milwaukie, Oregon. Joanne Lee Miracle practices all healthcare services and medical treatments related to Adult Health. The NPI Number for Joanne Lee Miracle is 1922043462. The last update date is 2020-08-10.
Joanne Lee Miracle's current location address is 4560 Se International Way Ste 100, Milwaukie, Oregon. You can contact this provider via phone number 9712065179 and fax number 5039050495. The mailing address for Joanne Lee Miracle is 4560 Se International Way Ste 100, Milwaukie, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joanne Lee Miracle |
|---|---|
| Address | 4560 Se International Way Ste 100, Milwaukie, Oregon |
| Phone Number | 9712065179 |
| Fax Number | 5039050495 |
| Sole Proprietor | N |
| Credentials | ANP-C; GNP |
NPI Number Detail
| NPI Number | 1922043462 |
|---|---|
| Provider Enumeration Date | 2006-06-18 |
| Last Updated Date | 2020-08-10 |
Provider Mailing Address Detail
| Address | 4560 Se International Way Ste 100 |
|---|---|
| City | Milwaukie |
| State | Oregon (OR) |
| Post Code | 972224628 |
| Phone Number | 9712065179 |
| Fax Number | 5039050495 |
Provider's Primary Taxonomy Detail
| Speciality | Adult Health |
|---|---|
| Taxonomy | 363La2200X |
| Licence No | 200050105NP |
|
Definition: An advanced practice registered nurse expert in providing primary and specialty healthcare services to adult patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113099 | OR | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Joanne Lee Miracle by the Centers for Medicare & Medicaid Services?
The Joanne Lee Miracle has been issued the NPI (National Provider Identifier) 1922043462, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Joanne Lee Miracle is physically located?
The Joanne Lee Miracle is physically situated at the following address: 4560 Se International Way Ste 100, Milwaukie, OR, 972224628.
What is Joanne Lee Miracle's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Joanne Lee Miracle is Adult Health, and the taxonomy code that classifies this field of practice is 363La2200X.
On what date did the Centers for Medicare & Medicaid Services assign the 1922043462 to Joanne Lee Miracle?
The Centers for Medicare & Medicaid Services assigned the 1922043462 to Joanne Lee Miracle on 2006-06-18.
As of what date was the information regarding Joanne Lee Miracle, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Joanne Lee Miracle, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-10.
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