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Oklahoma Board of Medical Licensure and Supervision

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Last Update: Friday, November 22, 2024 1:58 PM CST
Next Update: Friday, November 22, 2024 4:30 PM CST

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MITCHELL, MEGAN ELIESE       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: BELLEVUE HEALTH AND REHAB
6500 N PORTLAND AVE
OKC OK 73116

Address last updated on 6/26/2024
Phone #: (405) 938-1389
Fax #:
County: OKLAHOMA
License: 2230
Dated: 1/10/2013
Expires: 3/31/2025
License Type: Physician Assistant
Specialty:
Status: Active
Status Class: Fully Licensed
Restricted to:
CME Year: 2025
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Locations: Hours: Languages:
BELLEVUE HEALTH AND REHAB
6500 N PORTLAND AVE
OKC OK 73116

Phone #: (405) 938-1389
Fax #:

Hospital Privileges:

None listed

Primary Supervisor(s):
Name: Type: License Number: Full/Part Time:
KELLY VAN DAVIS MD 23418
SANDRA JEAN GILLILAND MD 23991
RICHARD J. HELTON DO 2096
SANG LEE DO 3864
Nghia Phan DO 4251
VISAL POK MD 24047
ORSON PABUSTAN RODRIGUEZ MD 23389
STEPHEN WARE SNELL III MD 19315

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