# STEPHEN A MITCHELL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MITCHELL PHYSICAL THERAPY
- **Other names:** Mitchell Physical Therapy
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1194058362
- **Legal business name:** MITCHELL PHYSICAL THERAPY
- **Authorized official:** MR. STEPHEN A MITCHELL MSPT (OWNER/ PHYSICAL THERAPIST)
- **Authorized official phone:** (503) 777-1983

## Contact information

- **Practice address:** 6542 SE LAKE RD, MILWAUKIE, OR 97222-2138
- **Practice address phone:** (503) 496-4550
- **Mailing address:** 5212 SE 52ND AVE, PORTLAND, OR 97206-5629
- **Mailing address phone:** (503) 777-1983

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | OR | Yes |

## Other

- **Enumeration date:** 09/04/2009
- **Last updated:** 09/04/2009
