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Contact Information

DAVID B MITCHELL, MD
13636 SE TARALON DR
CLACKAMAS, OR97015
 Phone: 503-266-5500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for DAVID B MITCHELL · (Male)

NPI Number 1851404230
Status Active
Credentials MD
Entity Individual
Enumeration date 08/17/2006
Last updated 07/18/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • OR License # MD15466
  • OR Medicaid 023234
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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