MR. Justin Tyler Miracle

NPI #1497354880 in Corvallis, Oregon

Provider Information

NPI Number: 1497354880
Entity Type: Individual
Name: MR. Justin Tyler Miracle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pharmacist
Enumeration Date: Oct 18, 2020
Last Updated: Nov 15, 2023

Practice Location

Address: 777 NW KINGS BLVD
City: Corvallis
State: Oregon
ZIP Code: 97330-5620
Phone: (541) 754-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Pharmacist	183500000X	Primary

Additional Practice Locations

3545 NE Canterbury Cir

Corvallis, OR, 97330-4007

(503) 877-4430

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