ALAN K MIRLY


Address: 2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719
Phone: 3608822778

ALAN K MIRLY (NPI# 1891780524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1891780524
Entity Type Individual
Full Name ALAN K MIRLY
Credential PA
Practice Address 2525 Ne 139th St Ste 220
Vancouver
WA 98686-2719
Mailing Address Po Box 4825
Portland
OR 97208-4825
Practice Telephone 3608822778
Practice Fax Number 3606041616
Mailing Telephone 3608822778
Mailing Fax Number 3606041771
Enumeration Date 2005-09-19
Last Update Date 2019-12-09
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA60997082 WA Physician Assistants & Advanced Practice Nursing Providers
N 363A00000X Physician Assistant PA-558 ID Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
ID 807225300 05
WA 2143194 05
ID BLUE CROSS PAWV4 01

Office Location

Street Address 2525 NE 139TH ST STE 220
City VANCOUVER
State WA
Zip Code 98686-2719

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740660638 Christoph Michael Prummer Otolaryngology 2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719 2015-06-04
1295996122 Scott Thomas Matz Surgery 2525 Ne 139th St Ste 220, Vancouver, WA 98686-2719 2008-06-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154891117 Dorota Bozena Barton Speech-Language Pathologist 2121 Ne 139th Street Mob A, Suite 200, Vancouver, WA 98686 2018-12-03
1881161818 Michelle Wolfe Dental Assistant A101, 1484, 14313 Ne 20th Ave, Vancouver, WA 98686 2018-10-29
1306321237 Rainier Springs Physician Group, LLC General Practice 2805 Ne 129th Street, Vancouver, WA 98686 2018-09-26
1801382387 Kristopher K Kostenko Dentist 14201 Ne 20th Ave Ste A101, Vancouver, WA 98686 2018-07-08
1689164071 Tegan Mills Occupational Therapist 7101 Ne 109th Street, Apt 64, Vancouver, WA 98686 2018-05-11
1164924122 Kate Kristin Lawrence Speech-Language Pathologist 2215 Ne 104th St, Vancouver, WA 98686 2018-03-06
1437609567 Elina Baranets Registered Nurse 14204 Ne Salmon Creek Avenue, Vancouver, WA 98686 2016-10-13
1386039550 Sean Vikram Bhatia Internal Medicine Kaiser Salmon Creek, 14406 Ne 20th Ave, Vancouver, WA 98686 2015-04-03
1376988642 Lindsay Hussey-andersen Orthopaedic Surgery 2525 Ne 139th St Ste 140, Vancouver, WA 98686 2013-05-01
1710253109 Legacy Salmon Creek Hospital Speech-Language Pathologist 2121 Ne 139th St., Mob A, Ste 200, Vancouver, WA 98686 2012-03-29
Find all providers in zip 98686

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1760028013 Nina Mulargia Physician Assistant 4912 Ne 54th Ave, Vancouver, WA 98661-2742 2019-11-21
1902387863 Theodore Rohan Thomas IIi Physician Assistant 2370 E 3rd Loop # 203a, Vancouver, WA 98661-7725 2018-08-28
1902310345 Elowyn Smith Physician Assistant 16219 Se 12th St Ste 206, Vancouver, WA 98683-8906 2017-11-21
1154702728 Kacie Marie Hamreus Physician Assistant 3101 Se 192nd Avenue, Vancouver, WA 98683 2015-06-09
1275910929 Brandon Bruce Mascott Physician Assistant 16811 Se Mcgillivray Blvd # 101, Vancouver, WA 98683-3404 2015-05-01
1043614167 Robyn Elizabeth Nash Physician Assistant 812 Se 136th Ave, Unit #l126, Vancouver, WA 98683-6943 2014-10-17
1588935498 Krista Letsch Physician Assistant 14201 Ne 20th Ave Ste 3101, Vancouver, WA 98686-6414 2012-01-24
1528335130 Jaime Erin Hamilton Physician Assistant 900 Ne 139th St Ste 202, Vancouver, WA 98685-2513 2011-11-28
1669760120 Todd J. Cichosz Physician Assistant 2510 Columbia House Blvd, Vancouver, WA 98661-7763 2011-07-19
1992092324 Jaime Larynn Simpkins Physician Assistant 400 Ne Mary Joseph Place, Vancouver, WA 98664 2011-07-06
Find all providers in VANCOUVER

Competitor

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City VANCOUVER
Zip Code 98686

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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