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Individual

DEBORA ANN MITCHELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, FNP-C

Contact information

Practice address
6464 SW BORLAND RD STE A2, TUALATIN, OR 97062-8854
(503) 885-1515
(503) 885-1520
Mailing address
8273 SW LORI WAY, BEAVERTON, OR 97007-6909
(734) 276-6075

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60932537
WA

Other

Enumeration date
04/16/2019
Last updated
06/19/2020
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