Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alan K Mirly, PA

Individual provider Physician Assistant · NPI 1891780524

Alan K Mirly, PA is a Physician Assistant in Vancouver, Washington. Licensed in Idaho and Washington. Registered with an NPI since 2005.

Licensed in
ID, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2525 NE 139th St Ste 220
Vancouver, WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1616
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60997082 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA-558 (ID)

Record details

NPI number1891780524
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedSeptember 19, 2005
Last updated in NPPESDecember 9, 2019
Certification dateDecember 9, 2019

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