Melissa Miracle, LPC

NPI #1073219077 in Tualatin, Oregon

Provider Information

NPI Number: 1073219077
Entity Type: Individual
Name: Melissa Miracle, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Feb 1, 2023
Last Updated: Feb 1, 2023

Practice Location

Address: 18765 SW BOONES FERRY RD STE 100
City: Tualatin
State: Oregon
ZIP Code: 97062-8607
Phone: (503) 612-1000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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