Individual
JACKSON MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2401 RIVER RD STE 120, EUGENE, OR 97404-5453
(541) 272-3928
Mailing address
2401 RIVER RD STE 120, EUGENE, OR 97404-5453
(541) 272-3928
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D12374
OR
Other
Enumeration date
07/01/2026
Last updated
07/01/2026
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