JENNIFER S MITCHELL (NPI# 1609019686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609019686 |
Entity Type | Individual |
Full Name | JENNIFER S MITCHELL |
Credential | PA-C |
Practice Address |
4411 Sw Vermont St Portland OR 97219-1020 |
Practice Telephone | 5034949992 |
Practice Fax Number | 5034949196 |
Mailing Telephone | 5034949992 |
Mailing Fax Number | 5034949196 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2020-02-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | PA153534 | OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992306898 | Jennifer Elaine Mitchell | Counselor | 2311 Shelby Ave Ste 201d, Ann Arbor, MI 48103-3849 | 2020-11-06 |
1669093001 | Jennifer Mitchell | Marriage & Family Therapist | 2108 23rd St, Rockford, IL 61108-6015 | 2020-04-27 |
1932729266 | Jennifer M Mitchell | Assisted Living Facility | 1976 Academy Ave, Tulare, CA 93274-3187 | 2020-04-16 |
1811538598 | Jennifer L Mitchell | Physician Assistant | 21 Susquehanna Valley Mall Dr Ste D, Selinsgrove, PA 17870-9148 | 2019-10-03 |
1750945903 | Jennifer L Mitchell | Registered Nurse | 644 State Line Rd, Colcord, OK 74338 | 2019-04-23 |
1063998870 | Jennifer Mitchell | Specialist/Technologist | 11502 Belmack Blvd S, Odessa, FL 33556-5104 | 2018-07-15 |
1841704855 | Jennifer L Mitchell | Counselor | 14125 Cedar Cir, Omaha, NE 68144-2120 | 2017-11-29 |
1982066627 | Jennifer Mitchell | Speech-Language Pathologist | 2101 Agecroft Rd., Virginia Beach, VA 23454 | 2016-03-22 |
1306223284 | Jennifer M Mitchell | Social Worker | 656 Apple Ave, Holland, MI 49423-5438 | 2015-04-30 |
1083003115 | Jennifer Quinn Mitchell | Physician Assistant | 35 Talcottville Rd Ste 5, Vernon, CT 06066-5261 | 2015-01-13 |
Street Address |
4411 SW VERMONT ST |
City | PORTLAND |
State | OR |
Zip Code | 97219-1020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871558353 | Douglas Bruce Mckeag | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2006-04-19 |
1013434646 | Sarah Kuppenbender Kong | Nurse Practitioner | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2017-08-24 |
1609396365 | Eric Wecker | Family Medicine | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2017-06-23 |
1164896791 | Jan Haxby | Pharmacist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2015-11-19 |
1609289032 | Juliet F Baker | Specialist/Technologist | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2014-06-03 |
1417204041 | Sarah S Owens | Social Worker | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-14 |
1033466206 | University Professional Services | General Practice | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-08-07 |
1215282710 | Claire E. Hull | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-07-20 |
1699048686 | Pamela T English | Counselor | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2012-02-21 |
1346536018 | Ruth Christiansen | Physician Assistant | 4411 Sw Vermont St, Portland, OR 97219-1020 | 2011-06-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
Find all providers in zip 97219 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427676493 | Lindsey Louise Peterson | Physician Assistant | 3505 N Williams Ave, Portland, OR 97227-1437 | 2020-07-07 |
1518584036 | Abigail Nichole Dumont | Physician Assistant | 6064 Sw 30th Ave, Portland, OR 97239-1018 | 2020-06-30 |
1336769637 | Molly Tanguay | Physician Assistant | 23 Bramhall St, Portland, ME 04102-3121 | 2020-04-16 |
1063040525 | Jessica Nursick | Physician Assistant | 26 Sand Hill Rd, Portland, CT 06480-1737 | 2020-03-31 |
1689217630 | Evan Eisher | Physician Assistant | 3809 Se Stephens St, Portland, OR 97214-5248 | 2019-10-22 |
1508407941 | Amie Bates | Physician Assistant | 1040 Nw 22nd Ave # Ll030, Portland, OR 97210-3057 | 2019-10-07 |
1558923326 | Mackenzie Graye Mcmillin | Physician Assistant | 1601 Congress St Ste 1, Portland, ME 04102-2145 | 2019-07-02 |
1447812268 | Maksim Yefimov | Physician Assistant | 2800 N Vancouver Ave Ste 130, Portland, OR 97227 | 2019-07-01 |
1942794839 | Michael Peterson | Physician Assistant | 3181 Sw Sam Jackson Park Rd # P31, Portland, OR 97239-3098 | 2018-06-14 |
1306383930 | Rachel Lynn Witowski | Physician Assistant | 2124 Nw Hoyt St, Portland, OR 97210-3215 | 2017-01-20 |
Find all providers in PORTLAND |
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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.