Clinton Mitchell

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

HAS-P-10181042 Issued in OR

Practice address

PO Box 1179
Brookings, OR 97415-0032

Phone

(541) 469-3511

Fax

(541) 469-5977

NPI assigned

Feb 28, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1488240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1306386016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 SE SUNNYSIDE RD STE 300N",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155703",
            "telephone_number": "281-286-2999",
            "fax_number": "512-607-4893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1179",
            "city": "BROOKINGS",
            "state": "OR",
            "postal_code": "974150032",
            "telephone_number": "541-469-3511",
            "fax_number": "541-469-5977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3229 Broadway Ave Ste F",
            "address_purpose": "LOCATION",
            "city": "North Bend",
            "state": "OR",
            "postal_code": "974592203",
            "country_code": "US",
            "telephone_number": "541-756-8944",
            "fax_number": "541-808-0967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "638 Railroad St",
            "address_purpose": "LOCATION",
            "city": "Brookings",
            "state": "OR",
            "postal_code": "974159256",
            "country_code": "US",
            "telephone_number": "541-469-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CLINTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "OR",
            "license": null,
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "OR",
            "license": "HAS-P-10181042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Luicelle Mikulski
• Melissa Lynn Miller
• Trudy Lynn Mills, D.O.
• Lehia Minter
• Misty Mountain Mobility, LLC.
• Shannon Marie Mitchell, PA-C
• Abubeker Beshir Mohammednur, DMD
• John P.T. Moody
• Robin Lynn Moralli, L.M.T
• William D Morrell, DDS

• Hearing Instrument Specialist in Brookings, OR
• Providers in Brookings, OR by specialty
• Hearing Instrument Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.