Individual
ROBERT R MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
9915 SANDIFUR PKWY, PASCO, WA 99301-8941
(509) 546-2222
(509) 546-2202
Mailing address
229 LAUREL ST, WALLA WALLA, WA 99362-2640
(509) 522-0133
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003461
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8147043
—
WA
01
—
PA10003461
PA-C LICENSE
WA
Enumeration date
07/03/2006
Last updated
05/31/2019
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