Mitchell, Jayne S

Mitchell, Jayne S is an individual health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Mitchell, Jayne S can be contacted via phone (503) 494-1775.

Contact Information

Primary practice address
3303 S Bond Ave Portland OR 97239-4501
Phone: (503) 494-1775
Fax: (503) 494-4749
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 086006009N3 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 086006006N3 Oregon

Profile Details

NPI number 1750373593
LBN Legal business name Mitchell, Jayne S
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Oct 31st, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750373593 NPPES
Oregon MEDICAID 292348
Oregon MEDICAID 9645607

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