MARTA S JOHNSON-MITCHELL DO
Individual Provider (NPI-1)
Active
Urology
Provider Information
- NPI Number
1356570055- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DO
- Status
- Active
Contact & Location
- Address
- 431 NE REVERE AVE STE 200, BEND, OR, 977014192
- Phone
- (541) 508-7973
- Fax
- (541) 508-7968
Specialties & Taxonomies
Urology
License: MI #5101018239
Urology
License: MN #57247
Urology
Primary License: OR #DO174428