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

Mr. Jordan Paul Miller

Individual provider Physician Assistant · NPI 1396107728

Mr. Jordan Paul Miller is a Physician Assistant in Renton, Washington. Qualified in 2016, 10 years ago. Practices with King County Public Hospital District No 2, a 585-clinician group and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2016
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Practice location Address checks out

1205 N 10th St
Renton, WA 98057-5577
Phone: (425) 656-4211
Fax: (425) 656-4053
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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 number1396107728
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 24, 2016
Last updated in NPPESNovember 4, 2016

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice King County Public Hospital District No 2 — 585 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

Other providers in Renton