Individual
MRS. MARIA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10011 SE DIVISION ST, #305, PORTLAND, OR 97266-1351
(503) 335-5975
Mailing address
160 E EXETER ST, GLADSTONE, OR 97027-2105
(503) 344-4591
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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