Individual
DR. BENJAMIN JOHN MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CWS
Contact information
Practice address
2608 CASCADIA INDUSTRIAL ST SE, SALEM, OR 97302-1372
(503) 371-4567
(503) 371-4569
Mailing address
1862 JENTIF CT NE, KEIZER, OR 97303-1990
(503) 798-2802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05975
OR
Other
Enumeration date
11/06/2020
Last updated
11/06/2020
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