Individual
DARA BETH MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1052 29TH AVE SW, ALBANY, OR 97321-3416
(541) 812-5060
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD175623
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500672880
—
OR
Enumeration date
04/06/2014
Last updated
11/09/2020
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