Individual
NIELS STEPHEN MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1100 3RD ST, TILLAMOOK, OR 97141-3402
(503) 842-5546
Mailing address
PO BOX 195, NETARTS, OR 97143-0195
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
07/31/2021
Last updated
10/20/2021
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