Individual
CASEY LYNN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
Mailing address
1300 44TH ST SE, EVERETT, WA 98203-2200
(425) 339-2559
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
—
—
224P00000X
Prosthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OI61335884
WA STATE ORTHOTIST LICENSE
WA
01
—
PS61335885
WA STATE PROSTHETIST LICENSE
WA
Enumeration date
11/08/2022
Last updated
11/08/2022
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