Mitchell, Jayne S
Mitchell, Jayne S is an individual health care provider with primary practice located at 1111 Ne 99Th Ave , Portland OR 97220-9428. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mitchell, Jayne S can be contacted via phone (503) 963-3030.Contact Information
Primary practice address
1111 Ne 99Th Ave
Portland OR 97220-9428
Phone: (503) 963-3030
Fax: (503) 963-3005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 086006006N3 | Oregon |
Profile Details
| NPI number | 1750373593 |
|---|---|
| LBN Legal business name | Mitchell, Jayne S |
| Credentials | Adult Nurse Practitioner (ANP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Dec 5th, 2008 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750373593 | NPPES |
| Oregon | MEDICAID | 292348 | |
| Oregon | MEDICAID | 9645607 |
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