Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Greta Louise Miracle, PA-C

Individual provider Physician Assistant · NPI 1245485846

Greta Louise Miracle, PA-C is a Physician Assistant in Vancouver, Washington. Qualified in 2008, 18 years ago. Practices with Legacy Salmon Creek Hospital, a 313-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Licensed in
WA
In the registry since
2008
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

16703 SE McGillivray Blvd
Vancouver, WA 98683-4300
Phone: (360) 566-4840
Fax: (360) 566-4841
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60058267 (WA)

Record details

NPI number1245485846
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 24, 2008
Last updated in NPPESNovember 24, 2008

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Legacy Salmon Creek Hospital — 313 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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