Jordan Alexander Mitchell

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20938 Issued in OR

Practice address

3653 NE John Olsen Ave
Hillsboro, OR 97124-5815

Phone

(503) 726-7260

NPI assigned

Jan 26, 2018

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Carrier Chiropractic

  • Chiropractor
  • Hillsboro, OR
  • NPI 1285183830
  NPD (past)

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

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1598263311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 SW BRUCE LN",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970085225",
            "telephone_number": "503-341-3831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3653 NE JOHN OLSEN AVE",
            "city": "HILLSBORO",
            "state": "OR",
            "postal_code": "971245815",
            "telephone_number": "503-726-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8538 SW Apple Way",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972251772",
            "country_code": "US",
            "telephone_number": "503-341-3831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2167 NW 185th Ave",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971247074",
            "country_code": "US",
            "telephone_number": "503-336-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "JORDAN",
        "middle_name": "ALEXANDER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "OR",
            "license": "20938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nomarie L. Miro Hernandez
• Kristina Mironichenko, RPH
• Karen A Mischke Nell, WHCNP
• Miss Alter Ego Salon, LLC
• Dionne-Etta Mitchell
• Marielle V Mitchell, DPT
• Michael Darren Mitchell, M.D.
• Timur Mitin, M.D., PH.D.
• Anuja Mittal-Henkle, MD
• Shilpi Mittal, PT

• Massage Therapist in Hillsboro, OR
• Providers in Hillsboro, OR by specialty
• Massage Therapist 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.