Jeffrey Robert Russo in Mcminnville - Foot & Ankle Surgery
Jeffrey Robert Russo - NPI 1598962060
Jeffrey Robert Russo is a Foot & Ankle Surgery in Mcminnville, Oregon. Jeffrey Robert Russo practices all healthcare services and medical treatments related to Foot & Ankle Surgery. The NPI Number for Jeffrey Robert Russo is 1598962060. The last update date is 2016-12-09.
Jeffrey Robert Russo's current location address is 235 Se Norton Ln, Mcminnville, Oregon. You can contact this provider via phone number 5034350130 and fax number 5034350145. The mailing address for Jeffrey Robert Russo is 235 Se Norton Ln, Mcminnville, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Robert Russo |
|---|---|
| Address | 235 Se Norton Ln, Mcminnville, Oregon |
| Phone Number | 5034350130 |
| Fax Number | 5034350145 |
| Sole Proprietor | Y |
| Credentials | D.P.M. |
NPI Number Detail
| NPI Number | 1598962060 |
|---|---|
| Provider Enumeration Date | 2007-06-28 |
| Last Updated Date | 2016-12-09 |
Provider Mailing Address Detail
| Address | 235 Se Norton Ln |
|---|---|
| City | Mcminnville |
| State | Oregon (OR) |
| Post Code | 971288479 |
| Phone Number | 5034350130 |
| Fax Number | 5034350145 |
Provider's Primary Taxonomy Detail
| Speciality | Foot & Ankle Surgery |
|---|---|
| Taxonomy | 213Es0103X |
| Licence No | DP00326 |
|
Definition: A doctor of podiatric medicine who diagnoses and treats disorders and injuries to the foot, ankle and related structures. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 231897 | OR | -- |
Post Comment/ Review Below
What is the Jeffrey Robert Russo's 1598962060?
The Jeffrey Robert Russo's NPI (National Provider Identifier) Number is 1598962060. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeffrey Robert Russo is physically located?
The Jeffrey Robert Russo is situated at the following address: 235 Se Norton Ln, Mcminnville, OR 971288479.
What is Jeffrey Robert Russo's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jeffrey Robert Russo's area of specialization is Foot & Ankle Surgery, and the corresponding taxonomy code that categorizes this field of practice is 213Es0103X.
On what date did the Jeffrey Robert Russo receive its 1598962060 assignment from the Centers for Medicare & Medicaid Services?
The Jeffrey Robert Russo was assigned its 1598962060 by the Centers for Medicare & Medicaid Services on 2007-06-28.
When was the Jeffrey Robert Russo's information last updated?
The Jeffrey Robert Russo's information was last updated on 2016-12-09.
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