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

Jared Miracle, PA-C

Individual provider Physician Assistant · NPI 1205726569

Jared Miracle, PA-C is a Physician Assistant in Beaverton, Oregon. Qualified in 2025, 1 year ago. Practices with Crm Physicians LLC, a 58-clinician group and accepts Medicare assignment.

Years since qualifying
1
In the registry since
2025
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

6800 SW 105th Ave
Beaverton, OR 97008-5468
Phone: (503) 430-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1205726569
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 8, 2025
Last updated in NPPESMay 3, 2026
Certification dateMay 3, 2026
Mailing address6800 Sw 105th Ave, Beaverton, OR 97008-5468

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Crm Physicians Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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