CLINTON MITCHELL (NPI# 1306386016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306386016 |
| Entity Type | Individual |
| Full Name | CLINTON MITCHELL |
| Practice Address |
Po Box 1179 Brookings OR 97415-0032 |
| Mailing Address |
8800 Se Sunnyside Rd Ste 300n Clackamas OR 97015-5703 |
| Practice Telephone | 5414693511 |
| Practice Fax Number | 5414695977 |
| Mailing Telephone | 2812862999 |
| Mailing Fax Number | 5126074893 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | OR | Speech, Language and Hearing Service Providers | |
| Y | 237700000X | Hearing Instrument Specialist | HAS-P-10181042 | OR | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3229 Broadway Ave Ste F, North Bend, OR 974592203 | 5417568944 | 5418080967 |
| 638 Railroad St, Brookings, OR 974159256 | 5414693511 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467531392 | Clinton Aaron Mitchell | Physician Assistant | 1505 Wilson Terrace, Suite 200, Glendale, CA 91206-4073 | 2006-11-02 |
| Street Address |
PO BOX 1179 |
| City | BROOKINGS |
| State | OR |
| Zip Code | 97415-0032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013549575 | Christopher Scott Mayo Jr. | Denturist | 937 Chetco Ave Ste. B, Brookings, OR 97415 | 2020-02-12 |
| 1912564329 | Lori A Burkart | Speech-Language Pathologist | Curry Medical Ctr, 500 5th Street, Brookings, OR 97415 | 2019-05-21 |
| 1881144178 | Costa Clinical Psychology, LLC | Social Worker | 625 Spruce St., # 7666, Brookings, OR 97415 | 2016-10-11 |
| 1194173898 | Columbiacare Services | Community Based Residential Treatment Facility, Mental Illness | 410 Maple St, Brookings, OR 97415 | 2016-06-03 |
| 1336595784 | Monica Shaw | Case Manager/Care Coordinator | 412 Alder, Brookings, OR 97415 | 2016-05-04 |
| 1639531437 | Ian Leonard | Behavioral Analyst | 450 Sb Chetco River Road, Brookings, OR 97415 | 2016-03-22 |
| 1518201151 | Columbacare Services | Community Based Residential Treatment Facility, Mental Illness | 210 Cove Lane, Brookings, OR 97415 | 2012-11-20 |
| 1699033365 | Sunlight Family Center, LLC | Clinic/Center | 604 Spruce Street, Brookings, OR 97415 | 2012-05-01 |
| 1649544784 | Oregon Coast Wellness Inc. | Clinic/Center | 648 Chetco Ave., Brookings, OR 97415 | 2012-03-07 |
| 1790072544 | Elizabeth A. Nation | Registered Nurse | 96343 Alder Ridge Road, Brookings, OR 97415 | 2011-06-30 |
| Find all providers in zip 97415 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306106539 | Brookings Hearing Associates | Hearing Instrument Specialist | 2311 Yorkshire Dr, Brookings, SD 57006-2446 | 2012-05-22 |
| 1306087762 | James Allen Schultz | Hearing Instrument Specialist | 307 4th St, Brookings, SD 57006-1919 | 2009-03-16 |
| 1972760205 | Michael Don Bartley | Hearing Instrument Specialist | 2311 Yorkshire Dr, Brookings, SD 57006-2446 | 2008-05-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982233250 | Jenessa Bolenbaugh | Hearing Instrument Specialist | 3250 Hillcrest Park Dr Ste 102, Medford, OR 97504-7684 | 2020-04-07 |
| 1144851270 | Katie Cason | Hearing Instrument Specialist | 369 S Columbia River Hwy, Saint Helens, OR 97051-6203 | 2020-01-28 |
| 1619533346 | Carolina Ruvalcaba Lozano | Hearing Instrument Specialist | 1301 Evergreen Rd Ste 120, Woodburn, OR 97071-2802 | 2019-05-17 |
| 1629538608 | Shawn Michael Feddersen | Hearing Instrument Specialist | 1020 Green Acres Rd #8, Eugene, OR 97408 | 2019-03-25 |
| 1457818080 | Emma Elizabeth Britten | Hearing Instrument Specialist | 401 E 10th Ave Ste 110, Eugene, OR 97401-3356 | 2019-03-01 |
| 1295201341 | Alyssa M Bartlett | Hearing Instrument Specialist | 2100 Ne Broadway St Ste 305, Portland, OR 97232-1570 | 2018-10-16 |
| 1801377171 | Brandon Ray Johnston | Hearing Instrument Specialist | 2285 Highway 101 Ste M, Florence, OR 97439-9722 | 2018-08-24 |
| 1013498377 | Best for Hearing | Hearing Instrument Specialist | 2285 Highway 101, Ste. M, Florence, OR 97439-9743 | 2018-08-24 |
| 1508358466 | Richard Ernest Swanson | Hearing Instrument Specialist | 1400 Executive Pkwy Ste 330, Eugene, OR 97401-7121 | 2018-06-05 |
| 1235656265 | Jacob Paul Tauzin | Hearing Instrument Specialist | 5455 Se 91st Ave, Portland, OR 97266-4603 | 2017-08-30 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.