Amy Laurel Miller, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA60694019 Issued in WA

Practice address

352 Harrison Rd
Selah, WA 98942-9505

Phone

(509) 697-6101

Fax

(509) 697-5464

NPI assigned

Sep 18, 2014

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1410998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1467854752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 HARRISON RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989429505",
            "telephone_number": "509-698-0579",
            "fax_number": "509-697-5464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 HARRISON RD",
            "city": "SELAH",
            "state": "WA",
            "postal_code": "989429505",
            "telephone_number": "509-697-6101",
            "fax_number": "509-697-5464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "AMY",
        "middle_name": "LAUREL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-18",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WA",
            "license": "PA60694019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Associates of Yakima, LLC (Selah Family Medicine Clinic INC., PS)
• Medical Associates of Yakima, LLC (Paul E Emmans, JR., DO)
• Memorial Physicians, P.L.L.C. (Selah Family Medicine)
• Memorial Practice Management, LLC (Selah Family Medicine)
• Michael McKay DDS PLLC (Selah Smiles)
• Megan Miller
• Jarron Mitchell
• Shirley Mohren-Graves, ARNP
• Saley Karim Molina
• Lisa Leah Moore, CDP

• Surgical Physician Assistant in Selah, WA
• Providers in Selah, WA by specialty
• Surgical Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.