Individual
MR. STEPHEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
5212 SE 52ND AVE, PORTLAND, OR 97206-5629
(503) 777-1983
(503) 771-1984
Mailing address
5212 SE 52ND AVE, PORTLAND, OR 97206-5629
(503) 777-1983
(503) 771-1984
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1766
OR
Other
Enumeration date
06/28/2006
Last updated
07/08/2007
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