Individual
BRAYLIN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LE
Contact information
Practice address
16239 SE MCLOUGHLIN BLVD STE 208, PORTLAND, OR 97267-4654
(971) 322-5909
Mailing address
13424 SE 169TH AVE APT A112, HAPPY VALLEY, OR 97015-8744
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
9964
CA
174400000X
Specialist
Primary
BAP-E-10249925
OR
Other
Enumeration date
11/09/2024
Last updated
04/29/2025
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