Individual
JANA KAE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 276-4628
Mailing address
331 SE 2ND ST, PENDLETON, OR 97801-2224
(541) 276-6207
(541) 255-4882
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
QMHA-R-1646
OR
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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