Individual
JAYNE S MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-1775
(503) 494-4749
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
086006006N3
OR
363LA2200X
Adult Health Nurse Practitioner
Primary
086006009N3
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292348
—
OR
05
—
9645607
—
WA
Enumeration date
08/18/2005
Last updated
10/31/2024
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