Jennifer S Mitchell (NPI# 1609019686, PAC ID# 3476704768) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1609019686 |
| PAC ID by PECOS | 3476704768 |
| Professional Enrollment ID | I20121114000360 |
| Full Name | Jennifer S Mitchell |
| Organization Legal Name | UNIVERSITY PROFESSIONAL SERVICES |
| Address |
4411 Sw Vermont St Portland OR 97219-1020 |
| Phone Number | 5034949992 |
| Gender | F |
| Graduation Year | 2010 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 4880760107 |
| Number of Group Practice Members | 1251 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380009 | OHSU HOSPITAL |
| 380004 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 | UNIVERSITY PROFESSIONAL SERVICES | |
| 4411 Sw Vermont St, Portland, OR 97219-1020 | 5034949992 | UNIVERSITY PROFESSIONAL SERVICES |
| Organization Legal Name | UNIVERSITY PROFESSIONAL SERVICES |
| Physicians | 1369 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jenna Kahn | Radiation Oncology | University Professional Services | 299 Se 9th Ave, Hillsboro, OR 97123-4221 |
| Ambika Bhushan | Internal Medicine | University Professional Services | 6355 Ne Cornell Rd, Suite 100, Hillsboro, OR 97124-5434 |
| Arnab Mitra | Internal Medicine | University Professional Services | 3303 Sw Bond Ave, Suite 6d, Portland, OR 97239-4501 |
| David Feigal Iii | Diagnostic Radiology | University Professional Services | 51377 Sw Old Portland, Rd Suite C, Scappoose, OR 97056-4023 |
| Daniel J Roberts | Nephrology | University Professional Services | 3131 N Vancouver, Ave Suite 200, Portland, OR 97227-1560 |
| John Avery Thompson | Emergency Medicine | University Professional Services | 335 Sw 8th Ave, Ohsu Rad Med Tuality, Hillsboro, OR 97123-4248 |
| Catherine Wong | Cardiovascular Disease (cardiology) | University Professional Services | 3489 Nw Hwy, Suite 101, Lincoln City, OR 97367-4959 |
| Sarah Kuppenbender Kong | Nurse Practitioner | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Aiyin Chen | Ophthalmology | University Professional Services | 16701 Se Mcgillivray Blvd, Suite 170, Vancouver, WA 98683-3604 |
| Nathaniel Gebhard | Ophthalmology | University Professional Services | 1410 May St, Hood River, OR 97031-1347 |
| Street Address |
4411 SW VERMONT ST |
| City | PORTLAND |
| State | OR |
| Zip | 97219-1020 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sarah Kuppenbender Kong | Nurse Practitioner | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Elizabeth Steiner Hayward | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ann G Tseng | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Kendrick Mk Lau | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ruth Christiansen | Physician Assistant | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Leah C Werner | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Sarah Skog | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ella Clark Nicholson | Physician Assistant | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Sarah S Owens | Clinical Social Worker | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Jennifer E Devoe | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory P Blosser | Physical Therapy | Therapeutic Associates Inc | 4415 Sw Vermont St, Portland, OR 97219-1020 |
| Ellen L Iwasaki | Nurse Practitioner | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Hunter Poarch | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Whitney W Roper | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Lyle J Fagnan | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Pamela T English | Clinical Social Worker | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ryne P Supplitt | Physical Therapy | Therapeutic Associates Inc | 4415 Sw Vermont St, Portland, OR 97219-1020 |
| Roger Doyle Garvin | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Ben Z. Reiter | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Douglas B Mckeag | Family Medicine | University Professional Services | 4411 Sw Vermont St, Portland, OR 97219-1020 |
| Find all physicians in zip 97219 | |||
| City | PORTLAND |
| Zip Code | 97219 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | PORTLAND + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jennifer S Mitchell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.