Individual
MARTI L MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1810 E 19TH ST STE 225, THE DALLES, OR 97058-3388
(541) 296-6101
(541) 296-3741
Mailing address
700 E 3RD ST, THE DALLES, OR 97058-2508
(541) 296-0149
(541) 296-0229
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
DO158463
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/11/2008
Last updated
07/09/2012
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