Dr CORY NATHANIEL MITCHELL is a male medical professional, specializing in Family Medicine. He graduated in 2014 from Loma Linda University School Of Medicine.
PROVIDENCE HEALTH AND SERVICES - WASHINGTON
1111 S 2ND AVE
WALLA WALL
WA
993624118
Tel: 5098975174
| Npi | 1275943060 |
| Pac Id | 0345531935 |
| Professional Enrollment Id | I20181023002927 |
| Last Name | MITCHELL |
| First Name | CORY |
| Middle Name | NATHANIEL |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2014 |
| Primary Specialty | FAMILY MEDICINE |
| Secondary Specialty 1 | SPORTS MEDICINE |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | SPORTS MEDICINE |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES - WASHINGTON |
| Group Practice Pac Id | 2860552973 |
| Number Of Group Practice Members | 146 |
| Line 1 Street Address | 1111 S 2ND AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | WALLA WALL |
| State | WA |
| Zip Code | 993624118 |
| Phone Number | 5098975174 |
| Hospital Affiliation Ccn 1 | 500002 |
| Hospital Affiliation Lbn 1 | PROVIDENCE ST MARY MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | |
| Hospital Affiliation Lbn 2 | |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
| Hospital Affiliation Ccn 4 | |
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| Professional Accepts Medicare Assignment | Y |
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