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Organization

STEPHEN A MITCHELL

Active
Parent organization
MITCHELL PHYSICAL THERAPY
Other names
Mitchell Physical Therapy
Organization subpart
Yes

Provider details

NPI number
Legal business name
MITCHELL PHYSICAL THERAPY
Authorized official
MR. STEPHEN A MITCHELL MSPT (OWNER/ PHYSICAL THERAPIST)
(503) 777-1983
Entity
Organization

Contact information

Practice address
6542 SE LAKE RD, MILWAUKIE, OR 97222-2138
(503) 496-4550
Mailing address
5212 SE 52ND AVE, PORTLAND, OR 97206-5629
(503) 777-1983

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
OR

Other

Enumeration date
09/04/2009
Last updated
09/04/2009
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