Individual
CLINT EUGENE MULLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 NE 7TH AVE, PORTLAND, OR 97232-2907
(503) 231-4876
(503) 232-0256
Mailing address
21 NE 7TH AVE, PORTLAND, OR 97232-2907
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
CPO01417
OR
Other
Enumeration date
10/07/2025
Last updated
10/07/2025
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