IndividualActive
Mitchell Branch, CRM
NPI 1063128916 · Community Health Clinic/Center · Portland, OR
Provider details
- NPI number
- 1063128916
- Entity type
- Individual
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Credential
- CRM
- Sex
- Male
- Sole proprietor
- Yes
- License
- 22-CRM-1540 (OR)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1817 Ne 6th Ave
Portland, OR 97212-3960
Phone: (503) 719-7985
Fax: (503) 994-5262
Approximate (ZIP-level) locationGet directions
Mailing address
1817 Ne 6th Ave
Portland, OR 97212-3960
Registry dates
- Enumerated
- 2023-01-24
- Last updated
- 2026-05-24
- Certified
- 2023-01-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.