Search › Idaho › 363A00000X
Mitchel Vellinga, CMA, PA-C
NPI 1184323438 · on the registry since 2023 · sole proprietor
Practice
- Address
- 880 W Quinn Rd
Chubbuck, ID 83202 - Phone
- (208) 238-2000
- Organisation at this address
- Health West, Inc.
Health West, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- ID
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-12-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho