Individual
MRS. KATHARINE THERESA MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
(503) 297-6334
(360) 297-2360
Mailing address
9155 SW BARNES RD, PORTLAND, OR 97225-6625
(503) 297-6334
(360) 297-2360
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201250033
OR
363LF0000X
Family Nurse Practitioner
AP60268388
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200642721RN
RN LICENCE
OR
Enumeration date
08/31/2010
Last updated
06/18/2021
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