Individual
JENNIFER MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4010 AERIAL WAY, EUGENE, OR 97402-9757
(541) 242-6353
(541) 242-8413
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD190160
OR
207Q00000X
Family Medicine Physician
MT208877
PA
Other
Enumeration date
05/14/2015
Last updated
10/08/2019
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