Individual
MARTA S JOHNSON-MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
431 NE REVERE AVE STE 200, BEND, OR 97701-4192
(541) 508-7973
(541) 508-7968
Mailing address
711 MEDFORD CTR, PMB 415, MEDFORD, OR 97504
(541) 774-5808
(541) 732-3910
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
5101018239
MI
208800000X
Urology Physician
57247
MN
208800000X
Urology Physician
Primary
DO174428
OR
Other
Enumeration date
07/02/2009
Last updated
01/04/2025
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