Organization
MITCHELL BORISKIN, F.N.P., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MITCHELL BORISKIN FNP (OWNER)
(541) 726-4400
Entity
Organization
Contact information
Practice address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Mailing address
1460 G ST, SPRINGFIELD, OR 97477-4112
(541) 726-4400
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
085073033N
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175281
—
OR
Enumeration date
12/12/2006
Last updated
08/27/2008
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