Individual
KENDRICK LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2069 ROBINS LN SE UNIT 216, SALEM, OR 97306-2771
(971) 301-3038
Mailing address
2069 ROBINS LN SE UNIT 216, SALEM, OR 97306-2771
(971) 301-3038
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201701143RN
OR
Other
Enumeration date
04/08/2021
Last updated
04/08/2021
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