Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0401X | Internist - Addiction Medicine | MD22241 | OR |
NPI | 1568625788 |
---|---|
Provider Name | Dr. William Barbee Mitchell |
First Address | Eugene, OR 97401-2502 |
Second Address | Eugene, OR 97401-2502 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 24/03/2017 |