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NPI Code Detail

MEDICARE: MONICA MITCHELL

MEDICARE: MONICA MITCHELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WX0003XInpatient Obstetric Registered Nurse201407881RNOR

General Provider Information

NPI Number : 1588595854
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MITCHELL
Provider Business Mailing Address
First Line : 3924 SE BYBEE BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-7740
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2801 N GANTENBEIN AVE
Second Line :
City : PORTLAND
State : OR
Zip : 97227-1623
Country : US
Telephone Number : 503-276-6500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/26/2026
Last Update Date : 05/26/2026

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Directions to “ MONICA MITCHELL ” Practice Location

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