Individual
DR. WILLIAM J MITCHELL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 LILLY RD NE, SUITE 204, OLYMPIA, WA 98506-5195
(360) 413-8250
(360) 413-8830
Mailing address
500 LILLY RD NE, SUITE 204, OLYMPIA, WA 98506-5195
(360) 413-8250
(360) 413-8830
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A08530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD00022796
MD LICENSE
WA
Enumeration date
11/09/2005
Last updated
03/07/2023
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