Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ayumi Mizuno, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1215730031

Ayumi Mizuno, AGNP-C is a Nurse Practitioner in Tualatin, Oregon. Qualified in 2024, 2 years ago. Practices with Spinal Diagnostics PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.

Years since qualifying
2
Licensed in
OR
In the registry since
2025

Practice location Address checks out

7790 SW Mohawk St
Tualatin, OR 97062-9191
Phone: (503) 885-1515
Fax: (503) 885-1520
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 10031967 (OR)

Record details

NPI number1215730031
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedMarch 28, 2025
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Spinal Diagnostics Pc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Tualatin