Individual
BRENDA KAY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, PWS, CRM
Contact information
Practice address
10373 NE HANCOCK ST STE 132, PORTLAND, OR 97220-3873
(971) 337-6715
Mailing address
10373 NE HANCOCK ST, SUITE 132, PORTLAND, OR 97220
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/18/2017
Last updated
05/18/2017
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