Provider Demographics
NPI:1265305783
Name:MITCHELL, HOWARD GREGORY (CHW)
Entity type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:GREGORY
Last Name:MITCHELL
Suffix:
Gender:M
Credentials:CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 50121
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-0970
Mailing Address - Country:US
Mailing Address - Phone:458-240-7942
Mailing Address - Fax:
Practice Address - Street 1:175 COMMONS DR
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-8921
Practice Address - Country:US
Practice Address - Phone:458-240-7942
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3852172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker