Individual
JESSICA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3640 NW SAMARITAN DR STE 220, CORVALLIS, OR 97330-3784
(541) 768-5300
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
036147126
IL
207V00000X
Obstetrics & Gynecology Physician
Primary
MD213552
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2014
Last updated
01/17/2023
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