MILES RAPHAEL WEISS GINGRICH NPI 1093649279

NPI Information

  • NPI: 1093649279
  • Provider Name: MILES RAPHAEL WEISS GINGRICH
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1905 CONTINENTAL PL
    MOUNT VERNON, WA
    ZIP 98273
  • Phone: (360) 755-6400

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NPI Details

Miles Raphael Weiss Gingrich is an addiction (substance use disorder) counselor in Mount Vernon, WA. Miles Raphael Weiss Gingrich NPI is 1093649279. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1905 CONTINENTAL PL
MOUNT VERNON, WA
ZIP 98273-633
Phone: (360) 755-6400
Fax: (360) 755-6407

The enumeration date for this NPI number is 6/11/2026 and was last updated on 6/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)CDPT.CO.70142848WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1CDPT.CO.70142848OTHERWASHINGTONSUDPT LICENSE FROM DOH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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