Individual
MITCHELL IRA BORISKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
48134 HIGHWAY 58, OAKRIDGE, OR 97463-9601
(541) 640-7625
Mailing address
1292 HIGH ST STE 224, EUGENE, OR 97401-3238
(541) 500-2500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
85073033N1
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175281
—
OR
Enumeration date
10/23/2006
Last updated
01/23/2020
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