Braylin Mitchell, LE
Specialist in Portland, OR. Individual provider (NPI-1).
NPI number1124842844
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1124842844
- Entity type
- Individual (NPI-1)
- Name
- Braylin Mitchell
- Credential
- LE
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2024
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | bap-e-10249925 | OR | Yes |
| 174400000X | Specialist | 9964 | CA |
Practice location
16239 Se McLoughlin Blvd Ste 208Portland, OR 97267-4654
Phone 971-322-5909
Mailing address
13424 Se 169th Ave Apt A112Happy Valley, OR 97015-8744
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