MARIE A MITCHUM (NPI# 1699931147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699931147 |
| Entity Type | Individual |
| Full Name | MARIE A MITCHUM |
| Other Name | WILLIAM R MITCHUM |
| Practice Address |
1130 Commercial St Astoria OR 97103-4126 |
| Practice Telephone | 5033251030 |
| Mailing Telephone | 5033251030 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2008-08-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1744P3200X |
Specialist Specialization: Prosthetics Case Management |
NOT REQUIRED | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 9056722 | 05 | |
| OR | BLUE CROSS BLUE SHIELD | 041635000 | 01 |
| OR | 295686 | 05 |
| Street Address |
1130 COMMERCIAL ST |
| City | ASTORIA |
| State | OR |
| Zip Code | 97103-4126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730552845 | Kpg Oregon, LLC | Internal Medicine | 486 12th Street #200, Astoria, OR 97103 | 2015-11-11 |
| 1205239043 | Brittany Dawn Vigoren | Dental Hygienist | 433 30th St., Astoria, OR 97103 | 2014-10-08 |
| 1497188858 | Jennifer U Boggs | Counselor | 10 Pier 1 Ste 203, Astoria, OR 97103 | 2013-08-20 |
| 1780022046 | Judy J Curnow | Massage Therapist | 1 12th Street Suite 10, Astoria, OR 97103 | 2013-06-10 |
| 1659626612 | Megan Lampson | Physical Therapist | 646 16th Ave., Astoria, OR 97103 | 2012-07-16 |
| 1043580947 | Matthew Thomas Cassity | Physical Therapy Assistant | 646 16th St., Astoria, OR 97103 | 2012-01-09 |
| 1881975969 | Rebecca Nicole Roe | Contractor | 25 Whitebush Way, Astoria, OR 97103 | 2011-09-02 |
| 1346542214 | Michele Lynn Hart | Social Worker | 2120 Exchange, Astoria, OR 97103 | 2010-11-29 |
| 1447551197 | Barbara Ellen Arnold | Pharmacist | 3250 Leif Erickson Dr, Astoria, OR 97103 | 2010-11-11 |
| 1083915219 | Christina Louise Jones | Pharmacist | 3250 Lief Erickson Dr, Astoria, OR 97103 | 2010-11-04 |
| Find all providers in zip 97103 | ||||
| Taxonomy Code | 1744P3200X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| Specialization | Prosthetics Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144259771 | Daniel Martins | Specialist | 2204 Crescent St, Astoria, NY 11105-3106 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083101943 | Joyce M Larkins | Specialist | 5852 Ne 42nd Ave., Portland, OR 97218 | 2018-04-17 |
| 1174679039 | Cynthia L Crawford | Specialist | 335 Pearl St, Eugene, OR 97401-2331 | 2007-01-25 |
| 1598841900 | Norma J Engeman | Specialist | 2823 Oak St, Eugene, OR 97405-3649 | 2006-10-27 |
| 1346710340 | Sensenbach Enterprises Inc | Specialist | 345 Ne Norton Ave, Bend, OR 97701-4351 | 2018-12-03 |
| 1083994867 | Center for Ocular Prosthetics LLC | Specialist | 2525 Nw Lovejoy St, Ste 306, Portland, OR 97210-2864 | 2011-08-24 |
Please comment or provide details below to improve the information on MARIE A MITCHUM.
| 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.