IndividualActive
Marta Johnson-Mitchell, DO
NPI 1356570055 · Urology Physician · Bend, OR
Provider details
- NPI number
- 1356570055
- Entity type
- Individual
- Primary specialty
- Urology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Female
- Sole proprietor
- No
- License
- 5101018239 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
431 Ne Revere Ave Ste 200
Bend, OR 97701-4192
Phone: (541) 508-7973
Fax: (541) 508-7968
Approximate (ZIP-level) locationGet directions
Mailing address
711 Medford Ctr
Medford, OR 97504
Registry dates
- Enumerated
- 2009-07-02
- Last updated
- 2025-01-04
- Certified
- 2025-01-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.