Individual
JASMIN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.H.
Contact information
Practice address
10209 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9782
(503) 286-6868
Mailing address
14849 SE ALISON CT, CLACKAMAS, OR 97015-7267
(503) 705-0618
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H7299
OR
Other
Enumeration date
09/23/2016
Last updated
12/29/2021
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