Individual
DR. TIMOTHY MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2525 NE 139TH ST STE 270, VANCOUVER, WA 98686-2719
(360) 882-2778
(360) 604-1672
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 882-2778
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
MD182505
OR
207VM0101X
Maternal & Fetal Medicine Physician
Primary
MD60462303
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2018400
—
WA
05
—
500725519
—
OR
Enumeration date
04/13/2010
Last updated
12/30/2019
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