Individual
ANDREA RENE MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
103 HIGHWAY 82, ENTERPRISE, OR 97828-6011
(541) 426-4524
(541) 426-3035
Mailing address
PO BOX 268, ENTERPRISE, OR 97828-0268
(541) 426-4524
(541) 426-3035
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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