Individual
MARY E MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
3927 RUCKER AVE, EVERETT, WA 98201-4833
(425) 339-5422
(425) 303-3053
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 258-3900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA219822
OR
363AM0700X
Medical Physician Assistant
3400
CO
363AM0700X
Medical Physician Assistant
5601004399
MI
363AM0700X
Medical Physician Assistant
Primary
PA61541738
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00163211
RAILROAD MEDICARE
—
Enumeration date
11/25/2005
Last updated
10/21/2025
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