Individual
SHANNON MARIE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
500 5TH ST, BROOKINGS, OR 97415-9702
(541) 412-2000
(541) 412-2081
Mailing address
503 HILLCREST AVE, OROVILLE, CA 95966-9484
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA221253
OR
363A00000X
Physician Assistant
PA59702
CA
Other
Enumeration date
07/15/2021
Last updated
09/15/2024
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