Dr GRETA L MIRACLE is a female medical professional, specializing in Physician Assistant. She graduated in 2008.
LEGACY SALMON CREEK HOSPITAL
1625 SE 192ND AVE
SUITE 100
CAMAS
WA
986077441
Tel: 3605664840
| Npi | 1245485846 |
| Pac Id | 0840354007 |
| Professional Enrollment Id | I20090205000446 |
| Last Name | MIRACLE |
| First Name | GRETA |
| Middle Name | L |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
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| All Secondary Specialties | |
| Organization Legal Name | LEGACY SALMON CREEK HOSPITAL |
| Group Practice Pac Id | 0446295711 |
| Number Of Group Practice Members | 168 |
| Line 1 Street Address | 1625 SE 192ND AVE |
| Line 2 Street Address | SUITE 100 |
| Marker Of Address Line 2 Suppression | |
| City | CAMAS |
| State | WA |
| Zip Code | 986077441 |
| Phone Number | 3605664840 |
| Hospital Affiliation Ccn 1 | 500150 |
| Hospital Affiliation Lbn 1 | LEGACY SALMON CREEK HOSPITAL |
| Hospital Affiliation Ccn 2 | 500050 |
| Hospital Affiliation Lbn 2 | PEACEHEALTH SOUTHWEST MEDICAL CENTER |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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