Mitchell, Jacob

Mitchell, Jacob is an sole proprietor health care provider with primary practice located at 1000 Se Uglow Ave , Dallas OR 97338-2645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Mitchell, Jacob can be contacted via phone (503) 623-8376.

Contact Information

Primary practice address
1000 Se Uglow Ave Dallas OR 97338-2645
Phone: (503) 623-8376
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA195749 Oregon

Profile Details

NPI number 1598250292
LBN Legal business name Mitchell, Jacob
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2018
Last updated Mar 26th, 2020 - about 6 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.

Request for update

Popular Providers