Ayumi Mizuno, AGNP-C
Ayumi Mizuno, AGNP-C is a Nurse Practitioner in Tualatin, Oregon. Qualified in 2024, 2 years ago. Practices with Spinal Diagnostics PC, a 4-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon.
- Years since qualifying
- 2
- Licensed in
- OR
- In the registry since
- 2025
Practice location Address checks out
7790 SW Mohawk StTualatin, OR 97062-9191
Phone: (503) 885-1515
Fax: (503) 885-1520
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Health Nurse Practitioner (primary) | Taxonomy 363LA2200X · Licence 10031967 (OR) |
|---|
Record details
| NPI number | 1215730031 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | AGNP-C |
| Sole proprietor | No |
| NPI enumerated | March 28, 2025 |
| Last updated in NPPES | February 23, 2026 |
| Certification date | February 23, 2026 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2024 (2 years in practice) |
| Group practice | Spinal Diagnostics Pc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
Payments from drug and device companies, 2025
| Travel and Lodging | $1,344 |
|---|---|
| Food and Beverage | $267 |
Practises at
- Salem Hospital Hospital · Salem, OR
- Legacy Meridian Park Medical Center Hospital · Tualatin, OR
- Ohsu Hospital And Clinics Hospital · Portland, OR
- Providence Newberg Medical Center Hospital · Newberg, OR
- Providence Willamette Falls Medical Center Hospital · Oregon City, OR
Colleagues at Spinal Diagnostics PC
- Dr. Jason G Anderson, DO Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tualatin, OR
- Dr. Robert D Heros, MD Pain Medicine (Physical Medicine & Rehabilitation) Physician · Tualatin, OR
- Tyler Garrett Huntington Physician Assistant · Tualatin, OR
Other providers in Tualatin
-
Cassandre Piersol, ANP-BC
19250 SW 90th Ave, Tualatin, OR 97062 · (503) 692-3750