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

Mr. Justin Tyler Miracle

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1497354880

Mr. Justin Tyler Miracle is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Corvallis, OR

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 3545 Ne Canterbury Cir, Corvallis, OR 97330-4007 — (503) 877-4430

Specialties & licences

Pharmacist (primary) Taxonomy 183500000X · Licence RPH0018483 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PI-0013024 (OR)

Record details

NPI number1497354880
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 18, 2020
Last updated in NPPESNovember 15, 2023
Certification dateNovember 15, 2023

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