Provider Demographics
NPI:1720972805
Name:MITCHELL, JENIFER SARAH (PSS, CRM, THW)
Entity type:Individual
Prefix:
First Name:JENIFER
Middle Name:SARAH
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:PSS, CRM, THW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 E 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-3246
Mailing Address - Country:US
Mailing Address - Phone:541-735-0578
Mailing Address - Fax:
Practice Address - Street 1:647 POLK ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4525
Practice Address - Country:US
Practice Address - Phone:541-735-0578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist