KRISTIE LYNN MITCHELL


Address: 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102
Phone: 5034301777

KRISTIE LYNN MITCHELL (NPI# 1457876633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457876633
Entity Type Individual
Full Name KRISTIE LYNN MITCHELL
Credential FNP
Practice Address 1675 Sw Marlow Ave Ste 202
Portland
OR 97225-5102
Mailing Address 537 Nina Ln
Hood River
OR 97031-8715
Practice Telephone 5034301777
Practice Fax Number 5033725119
Mailing Telephone 5037897021
Enumeration Date 2017-08-08
Last Update Date 2017-08-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
201706323NP-PP OR Allopathic & Osteopathic Physicians

Other Providers KRISTIE MITCHELL

NPI Name Taxonomy Address Enumeration
1326026162 Kristie Denise Mitchell Psychiatry & Neurology 14139 Potomac Mills Rd, Kaiser Permanente Woodbridge Medical Center, Woodbridge, VA 22192-4644 2006-01-03

Office Location

Street Address 1675 SW MARLOW AVE STE 202
City PORTLAND
State OR
Zip Code 97225-5102

Providers in the same location

NPI Name Taxonomy Address Enumeration
1912101338 Nita Vellody Internal Medicine 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 2007-06-11
1497251904 Mark W Cheng LLC Physical Medicine & Rehabilitation 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 2018-04-03
1457880668 Nicole Best Nurse Practitioner 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 2017-06-09
1760852925 Tomoaki Honda Registered Nurse 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 2015-09-30
1235572744 Stacey Wayne Melnick Nurse Practitioner 1675 Sw Marlow Ave Ste 202, Portland, OR 97225 2013-04-15
1871899740 Mark W Cheng Physical Medicine & Rehabilitation 1675 Sw Marlow Ave Ste 202, Portland, OR 97225 2011-02-09
1467781062 Elizabeth Adair Moore Nurse Practitioner 1675 Sw Marlow Ave Ste 202, Portland, OR 97225-5102 2009-12-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1508425034 Gabrielle Gonzales Behavior Technician 1675 Sw Marlow Ave, Suite 200, Portland, OR 97225 2019-06-08
1558844555 Tate Roseberry Behavior Technician 1675 Sw Marlow Avenue, Suite 200, Portland, OR 97225 2018-09-14
1982186300 Dean Alan Hopkins Registered Nurse 11782 Sw Barnes Rd, Suite 300, Portland, OR 97225 2018-09-01
1316449168 Surgery Center At St. Vincent, LLC Clinic/Center 9135 Sw Barnes Rd Ste 161, Portland, OR 97225 2018-03-07
1730606716 Meghan Louise Lacy Pediatrics 11790 Sw Barnes Rd, Blg. A, Suite 140, Portland, OR 97225 2017-08-29
1841733433 Tia Pugh Occupational Therapist 9155 S.w. Barnes Road, East Pavilion, Portland, OR 97225 2016-11-30
1295185585 Stephanie Lynn Hart Nurse Practitioner 9155 Sw Barnes Rd Ste 240, Portland, OR 97225 2016-06-16
1962866244 Bejian Shamloo Chiropractor 10200 Sw Eastridge St., Suite 235, Portland, OR 97225 2016-04-12
1992162630 Robert Joseph Yoder Psychologist 9045 Barnes Rd, Portland, OR 97225 2016-01-26
1316303951 Katie Herold Chiropractor 9315 Sw Morrison St, Portland, OR 97225 2016-01-12
Find all providers in zip 97225

Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1811257124 Hpa Housecall PC Family Medicine 6975 Sw Sandburg St Ste 190, Portland, OR 97223-8136 2012-05-21
1023226271 River Medical Clinic PC Family Medicine 13021 Se River Rd, Portland, OR 97222-8062 2007-05-20
1982774543 Harry S Krulewitch, Md PC Family Medicine 4838 Sw Scholls Ferry Rd, Portland, OR 97225-1629 2006-11-09
1215953724 Howard M Graitzer Family Medicine 6808 Se 28th Ave, Portland, OR 97202-8705 2006-07-15
1598799553 Harry Scott Krulewitch Family Medicine 1101 Sw Coronado St, Portland, OR 97219-7625 2006-07-10
1790122927 Emily Livia Carter Family Medicine 66 Bramhall St, Portland, ME 04102-3344 2013-05-29
1285869420 Chester C Suske Family Medicine 1250 Forest Ave, Suite 13, Portland, ME 04103-1889 2009-05-18
1568615649 Progressive Medical Care LLC Family Medicine 335 Brighton Ave, Portland, ME 04102-2363 2008-11-03
1164610242 Mainehealth Family Medicine 22 Bramhall St, Portland, ME 04102 2007-10-15
1881611549 Howard M Graitzer Do Family Medicine 6040 Se Belmont St, Portland, OR 97215-1974 2006-07-17
Find all providers in PORTLAND

Competitor

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City PORTLAND
Zip Code 97225

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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