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

Marta S Johnson-Mitchell, DO

Individual provider Urology Physician · NPI 1356570055

Marta S Johnson-Mitchell, DO is an Urology in Bend, Oregon. Qualified in 2009, 17 years ago. Practices with Cascade Lakes Urology LLC, a 3-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan, Minnesota and Oregon.

Years since qualifying
17
Licensed in
MI, MN, OR
In the registry since
2009
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

431 NE Revere Ave Ste 200
Bend, OR 97701-4192
Phone: (541) 508-7973
Fax: (541) 508-7968
Show map & directions

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence DO174428 (OR)
Urology Physician Taxonomy 208800000X · Licence 5101018239 (MI)
Urology Physician Taxonomy 208800000X · Licence 57247 (MN)

Record details

NPI number1356570055
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 2, 2009
Last updated in NPPESJanuary 4, 2025
Certification dateJanuary 4, 2025
Mailing address711 Medford Ctr, Pmb 415, Medford, OR 97504

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Cascade Lakes Urology Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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