Mitchell, Timothy

Mitchell, Timothy is an individual health care provider with primary practice located at 2525 Ne 139Th St Ste 270 , Vancouver WA 98686-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Mitchell, Timothy can be contacted via phone (360) 882-2778.

Contact Information

Primary practice address
2525 Ne 139Th St Ste 270 Vancouver WA 98686-2719
Phone: (360) 882-2778
Fax: (360) 604-1672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD182505 Oregon
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X MD60462303 Washington

Profile Details

NPI number 1457677627
LBN Legal business name Mitchell, Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Dec 30th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457677627 NPPES
Washington MEDICAID 2018400
Washington MEDICAID 500725519

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