Individual
LUKE MIERAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
3600 NW SAMARITAN DR, CORVALLIS, OR 97330-3737
(541) 768-6870
Mailing address
575 NW TORREY VIEW LN, PORTLAND, OR 97229-6539
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA185013
OR
363A00000X
Physician Assistant
—
—
Other
Enumeration date
08/17/2017
Last updated
04/05/2022
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