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Contact Information

KENJAMIN MITCHELL
1720 NW LOVEJOY ST STE 339
PORTLAND, OR97209-2346
 Phone: 971-420-6656
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Technician

374700000X
Indicates primary specialty

NPI Profile & details for KENJAMIN MITCHELL · (Male)

NPI # 1679448815
Status Active
Credentials
Entity Individual
Enumeration date 10/08/2025
Last updated 10/08/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • OR License # BAP-E-10259355
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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