Individual
MITCHELL MAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15203 NE 72ND AVE, VANCOUVER, WA 98686-1929
(360) 209-4449
Mailing address
15203 NE 72ND AVE, VANCOUVER, WA 98686-1929
(419) 956-2151
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10044091
OR
Other
Enumeration date
10/27/2025
Last updated
01/12/2026
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