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

MS. Judith A Mitchell, PA-C

Individual provider Medical Physician Assistant · NPI 1316188006

MS. Judith A Mitchell, PA-C is a Physician Assistant in Salem, Oregon. Qualified in 2006, 20 years ago. Practices with Icco LLC, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
20
Licensed in
OR
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4999 Skyline Rd S
Salem, OR 97306
Phone: (503) 371-4647
Fax: (503) 485-8405
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2902 Tom Tennant Dr, Woodburn, OR 97071-2828 — (971) 345-4767

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA01450 (OR)

Record details

NPI number1316188006
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 10, 2009
Last updated in NPPESAugust 9, 2023
Certification dateAugust 9, 2023
Mailing address4999 Skyline Rd. S., Salem, OR 97306

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Icco Llc — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Salem