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Individual

ALISON MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5050 NE HOYT ST, SUITE 240, PORTLAND, OR 97213-2991
(503) 215-6480
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD25419
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
275380
OR
01
840292003
REGENCE
OR
01
8414336
CHPW
WA
05
8414336
WA
01
911019392
COMMERCIAL
Enumeration date
09/06/2006
Last updated
10/02/2020
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