Mitchell, Stephen M
Mitchell, Stephen M is an individual health care provider with primary practice located at 4805 Ne Glisan St Ste 6N40 , Portland OR 97213-2933. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Mitchell, Stephen M can be contacted via phone (503) 215-6601.Contact Information
Primary practice address
4805 Ne Glisan St Ste 6N40
Portland OR 97213-2933
Phone: (503) 215-6601
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | OP60077530 | Washington |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | DO201650 | Oregon |
Profile Details
| NPI number | 1164521654 |
|---|---|
| LBN Legal business name | Mitchell, Stephen M |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 21st, 2006 |
| Last updated | Oct 11th, 2023 - about 2 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 | 1164521654 | NPPES |
| Washington | MEDICAID | 8541617 |
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