MITCHELL S BRANCH

PORTLAND, OR
NPI1063128916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy261QC1500X Clinic/Center Community Health
(Licence: OR  22-CRM-1540)
Enumeration Date2023-01-24
Last Update Date2023-01-24
Business Address
MITCHELL S BRANCH CRM
1817 NE 6TH AVE
PORTLAND, OR 97212-3960
Phone number: 503-719-7985
Mailing Address
MITCHELL S BRANCH CRM
1817 NE 6TH AVE
PORTLAND, OR 97212-3960
Phone number: 503-719-7985
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