MR. Justin Tyler Miracle

  • NPI 1497354880
According to our database, the NPI number for MR. Justin Tyler Miracle is 1497354880 and activated since 3 years ago. MR. Justin Tyler Miracle is an individual provider who specializes in Student in an Organized Health Care Education/Training Program, and the primary practice location is 777 Nw Kings Blvd, Corvallis, OR 97330. You can also contact MR. Justin Tyler Miracle via telephone number is (541) 754-5583. Provider NPI information was last updated on 09/03/2021.

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Overview of MR. Justin Tyler Miracle

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 10/18/2020
  • Last updated: 09/03/2021

Primary Scrop of Practice

  • Taxonomy Code: 390200000X
  • Specialty: Student in an Organized Health Care Education/Training Program
  • License Number: PI-0013024
  • License State: OR

Provider Mailing Address

  • Address: 777 Nw Kings Blvd
    Corvallis, OR 97330
  • Phone: 503-877-4430
  • Fax:

Provider Practice Location

  • Address: 777 Nw Kings Blvd
    Corvallis, OR 97330
  • Phone: 541-754-5583
  • Fax:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for MR. Justin Tyler Miracle?
  • A: The npi number for MR. Justin Tyler Miracle is 1497354880.
  • Q: What are MR. Justin Tyler Miracle's specialties?
  • A: MR. Justin Tyler Miracle's specialties are Student in an Organized Health Care Education/Training Program and different specialities.
  • Q: What is the medical license for MR. Justin Tyler Miracle?
  • A: The medical license number for MR. Justin Tyler Miracle is PI-0013024 and issued in OR in USA.
  • Q: Where is MR. Justin Tyler Miracle practice location?
  • A: MR. Justin Tyler Miracle is practicing at 777 Nw Kings Blvd, Corvallis, OR 97330.
  • Q: How to contact MR. Justin Tyler Miracle?
  • A: You can contact MR. Justin Tyler Miracle via 541-754-5583.
Medicare Specialty
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Sports Medicine
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