IndividualActive
Kenjamin Mitchell
NPI 1679448815 · Technician · Portland, OR
Provider details
- NPI number
- 1679448815
- Entity type
- Individual
- Primary specialty
- TechnicianNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- BAP-E-10259355 (OR)
Specialties & taxonomies
Nursing Service Related Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1720 Nw Lovejoy St Ste 339
Portland, OR 97209-2346
Phone: (971) 420-6656
Street-level locationGet directions
Mailing address
1406 Ne Holman St
Portland, OR 97211-4144
Registry dates
- Enumerated
- 2025-10-08
- Last updated
- 2025-10-08
- Certified
- 2025-10-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.