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

Cory Mitchell

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1275943060

Cory Mitchell is a Family Practice in Walla Walla, Washington. Graduated from Loma Linda University School of Medicine in 2014, 12 years ago. Practices with Providence Health and Services - Washington, a 264-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
12
Trained at
Loma Linda University School of Medicine
Licensed in
WA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

1111 S 2nd Ave
Walla Walla, WA 99362
Phone: (509) 897-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 11234 Anderson St, Loma Linda, CA 92354-2804 — (909) 558-6688
  • 1017 S 2nd Ave Ste 1, Walla Walla, WA 99362-4183 — (509) 897-8520

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X · Licence MD60878010 (WA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1275943060
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2014
Last updated in NPPESJune 18, 2021
Certification dateJune 18, 2021
Mailing addressPo Box 32, Liberty Lake, WA 99019-0032

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Also practisesSPORTS MEDICINE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Providence Health And Services - Washington — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Walla Walla