IndividualActive
Christina Mimikos, D.O.
NPI 1093944258 · Otolaryngology/Facial Plastic Surgery Physician · Portland, ME
Provider details
- NPI number
- 1093944258
- Entity type
- Individual
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- License
- 2016017553 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1250 Forest Ave Ste 301
Portland, ME 04103
Phone: (207) 797-5753
Approximate (ZIP-level) locationGet directions
Mailing address
1250 Forest Ave Ste 301
Portland, ME 04103-1884
Additional practice locations (1)
- 1229 E Seminole StSuite 520Springfield, MO 65804-2227Phone: (417) 820-5750
Registry dates
- Enumerated
- 2009-07-09
- Last updated
- 2018-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.