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

Mira Rose Nelson, MD

Individual provider Family Medicine Physician · NPI 1073018321

Mira Rose Nelson, MD is a Family Practice in Port Angeles, Washington. Graduated from University of Washington School of Medicine in 2018, 8 years ago. Practices with North Olympic Healthcare Network, a 31-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
8
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

240 W Frnt ST Ste A
Port Angeles, WA 98362-2609
Phone: (360) 452-7891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 933 E 1st St, Port Angeles, WA 98362-4012 — (360) 452-7891

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD61066210 (WA)

Record details

NPI number1073018321
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2018
Last updated in NPPESJuly 14, 2026
Certification dateJuly 14, 2026
Mailing address240 W Front St Ste A, Port Angeles, WA 98362-2609

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice North Olympic Healthcare Network — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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