Janene Mitchell, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

178026 Issued in OR

Practice address

2067 NW Lovejoy St
Portland, OR 97209-1515

Phone

(503) 222-2322

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Bertha Janene Mitchell Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1063550309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 NE 66TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972183107",
            "telephone_number": "310-945-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 NW LOVEJOY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972091515",
            "telephone_number": "503-222-2322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6711 Forest Lawn Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900681032",
            "country_code": "US",
            "telephone_number": "323-642-6800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JANENE",
        "name_prefix": "Ms.",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC 7960",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "178026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERTHA",
            "last_name": "MITCHELL",
            "middle_name": "JANENE",
            "credential": "LAC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• George Sieh Mitchell, PADM/CNA2
• Gregory M Mitchell, L.M.T.
• Heather Mitchell, M.A., LPC, LMHC
• Howard Mitchell
• Janae Mitchell, LMT
• Jayne S Mitchell, ANP
• Jazlyn Marie Mitchell
• Jennifer Marie Mitchell, CRM
• Jennifer S Mitchell, PA-C
• Jerem J Mitchell, D.M.D.

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.