Individual
MR. MITCHELL TYLER BACON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(800) 813-2000
Mailing address
7454 N MONTEITH AVE, PORTLAND, OR 97203-4265
(603) 667-3282
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LF60724149
WA
106H00000X
Marriage & Family Therapist
Primary
T1282
OR
Other
Enumeration date
10/23/2012
Last updated
12/21/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us