NPI 1356570055

Marta S Johnson-Mitchell, DO

Practitioner Urology Physician Bend, OR

Practice location

Address: 431 NE Revere Ave STE 200, Bend, OR 97701-4192
Phone: (541) 508-7973
Fax: (541) 508-7968
Mailing address: 711 Medford Ctr Pmb 415, Medford, OR 97504

Registered specialties (3)

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence DO174428 (OR)

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Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 57247 (MN)

Registry record

NPI: 1356570055
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jul 2009
Record last updated: 4 Jan 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.