person
Mitchell S Branch, CRM
Community Health Clinic/Center in Portland, Oregon
NPI 1063128916

Mitchell S Branch is a Community Health Clinic/Center based in Portland, OR and is specialized in Community Health. Mitchell S Branch practices in Portland, OR and has the professional credentials of CRM. The NPI Number for Mitchell S Branch is 1063128916 and holds a License No. 22-CRM-1540 (Oregon).

The current practice location address for Mitchell S Branch is 1817 Ne 6Th Ave, Portland, OR and can be reached out via phone at 503-719-7985 and via fax at 503-994-5262.

Location: 1817 Ne 6Th Ave, Portland, OR, 97212-3960
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Provider Profile Details
NPI Number
1063128916
Provider Name
Mitchell S Branch
Credential
CRM
Provider Entity Type
Individual
Gender
Male
Address
1817 Ne 6Th Ave, Portland, OR, 97212-3960
Phone Number
503-719-7985
Fax Number
503-994-5262
Provider Enumeration Date
01/24/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
999999 05 OR
institution
Provider Business Practice Location Address Details
Address
1817 Ne 6Th Ave
City
State
Zip
97212-3960
Phone Number
503-719-7985
Fax Number
503-994-5262
person
Provider Business Mailing Address Details
Address
1817 Ne 6Th Ave
City
State
Zip
97212-3960
Phone Number
503-719-7985
Fax Number
503-994-5262
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
22-CRM-1540 (Oregon)
Definition
Definition to come...
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