Individual
BRIAN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
Mailing address
5122 SE HAWTHORNE BLVD, PORTLAND, OR 97215-3302
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
LL18383
OR
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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