person
Marie A Mitchum
Prosthetics Case Management in Astoria, Oregon
NPI 1699931147

Marie A Mitchum is a Prosthetics Case Management based in Astoria, OR and is specialized in Prosthetics Case Management. Marie A Mitchum practices in Astoria, OR. The NPI Number for Marie A Mitchum is 1699931147 and holds a License No. NOT REQUIRED (Oregon).

The current practice location address for Marie A Mitchum is 1130 Commercial St, Astoria, OR and can be reached out via phone at 503-325-1030.

Location: 1130 Commercial St, Astoria, OR, 97103-4126
person
Provider Profile Details
NPI Number
1699931147
Provider Name
Marie A Mitchum
Credential
Provider Entity Type
Individual
Gender
Female
Address
1130 Commercial St, Astoria, OR, 97103-4126
Phone Number
503-325-1030
Fax Number
Provider Enumeration Date
08/04/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
295686 05 OR
9056722 05 WA
041635000 01 OR BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1130 Commercial St
City
State
Zip
97103-4126
Phone Number
503-325-1030
Fax Number
person
Provider Business Mailing Address Details
Address
1130 Commercial St
City
State
Zip
97103-4126
Phone Number
503-325-1030
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
NOT REQUIRED (Oregon)
Definition
Definition to come...
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