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General NPI Number Information
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NPI Number | 1003279415
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Entity Type | Individual
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Provider Name | ALLISON ROE MITCHELL MD
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Gender | Female
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 08/29/2022
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Provider Practice Location Address
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Address Line | 1600 STATE ST
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City | SALEM
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State | OR
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Zip | 97301-4257
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Country | US
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Telephone | 503-540-6300
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Fax | 503-540-6404
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Provider Business Mailing Address
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Address Line | 1600 STATE ST
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City | SALEM
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State | OR
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Zip | 97301-4257
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Country | US
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Telephone | 503-540-6300
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Fax | 503-540-6404
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | MD209540
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License Number State | OR
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