Individual
DR. CASSANDRA M MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5410 SW MACADAM AVE, SUITE 230, PORTLAND, OR 97239-6105
(503) 208-3051
Mailing address
5410 SW MACADAM AVE, SUITE 230, PORTLAND, OR 97239-6105
(503) 208-3051
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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