Mitchell Boriskin, F.N.P., P.C.

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

085073033N Issued in OR

Legal business name

MITCHELL BORISKIN, F.N.P., P.C.

Practice address

1460 G St
Springfield, OR 97477-4112

Phone

(541) 726-4400

NPI assigned

Dec 12, 2006

Organization subpart

No

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

Authorized official

Name

Mitchell Boriskin, FNP

Title

Owner

Phone

(541) 726-4400

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219795200000",
    "number": "1083774541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774112",
            "telephone_number": "541-726-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 G ST",
            "city": "SPRINGFIELD",
            "state": "OR",
            "postal_code": "974774112",
            "telephone_number": "541-726-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL BORISKIN, F.N.P., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-08-27",
        "status": "A",
        "authorized_official_last_name": "BORISKIN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-726-4400",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "085073033N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175281",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shane J Mills, MD
• Dustin L Minch, L.M.T.
• Shirley Denise Minor
• Aaron Minster, NP
• M. Andrew Mirhej, M.D.
• Mailynn Alexis Mitchell Sanchez, DO
• Haley Mitchell, P.T, D.P.T
• Sara K Mitchell, R.N.
• Trisha J Mitchell, M.D.
• Jubeen Moaven, MD

• Nurse Practitioner in Springfield, OR
• Providers in Springfield, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2008; 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.