Marie A Mitchum

NPI 1699931147 - Specialist - 1744P3200X

NPI Details
NPI 1699931147
Gender Female
Enumeration Date 08/04/2008
Last Updated 08/05/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
1130 COMMERCIAL ST
ASTORIA OR, 97103-4126, US
Phone (503) 325-1030
Fax
Business Location
1130 COMMERCIAL ST
ASTORIA OR, 97103-4126, US
Phone (503) 325-1030
Fax
Toxanomy
Taxonomy Code 1744P3200X
License State Oregon
License Number NOT REQUIRED
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According to our database, Marie A Mitchum NPI is 1699931147, taxonomy code is 1744P3200X and license number is NOT REQUIRED, license state is located at Oregon. Marie A Mitchum physically located at 1130 Commercial St, Astoria OR, 97103-4126. NPI Number Marie A Mitchum has the Individual type.

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1699931147 NPI number is provided on an as is basis without warranty of any kind. 1699931147 is maintained by the National Plan & Provider Enumeration System. The contents of Marie A Mitchum are for informational purposes only.