Individual
RICHARD MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2400 SAHALEE DR E, SAMMAMISH, WA 98074-6316
(425) 223-1385
Mailing address
2400 SAHALEE DR E, SAMMAMISH, WA 98074-6316
(425) 223-1385
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2195
AZ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/28/2017
Last updated
10/17/2018
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