Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MITCHELL S BRANCH, CRM
Active Sole ProprietorCommunity Health Center · PORTLAND, OR
Registration Details
- NPI Number
- 1063128916
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 24, 2023 (3.2677190569635 yrs)
- Last Updated
- Jan 24, 2023
- License
-
22-CRM-1540 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1817 NE 6TH AVEPORTLAND, OR, 972123960Browse OR providers · Browse ZIP 97212
- Phone
- 5037197985
- Fax
- 5039945262
- Primary Specialty
-
Community Health Center
261QC1500X
Other Community Health Center Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| JESSIKA FATU | — | 1366018343 |
| SARA STANCZAK | — | 1972271427 |
| ARETHA DEANN STONE | — | 1639806292 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.