Individual
STEPHEN M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4805 NE GLISAN ST STE 6N40, PORTLAND, OR 97213-2933
(503) 215-6601
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
DO201650
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
OP60077530
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8541617
—
WA
Enumeration date
09/21/2006
Last updated
10/11/2023
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