Jonathan Forrest Russell in Winston - Physician Assistant
Jonathan Forrest Russell - NPI 1396934196
Jonathan Forrest Russell is a Physician Assistant in Winston, Oregon. Jonathan Forrest Russell practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Jonathan Forrest Russell is 1396934196. The last update date is 2020-05-20.
Jonathan Forrest Russell's current location address is 671 Sw Main St, Winston, Oregon. You can contact this provider via phone number 5414924550 and fax number 5414924553. The mailing address for Jonathan Forrest Russell is 671 Sw Main St, Winston, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jonathan Forrest Russell |
|---|---|
| Address | 671 Sw Main St, Winston, Oregon |
| Phone Number | 5414924550 |
| Fax Number | 5414924553 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1396934196 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2020-05-20 |
Provider Mailing Address Detail
| Address | 671 Sw Main St |
|---|---|
| City | Winston |
| State | Oregon (OR) |
| Post Code | 974966571 |
| Phone Number | 5414924550 |
| Fax Number | 5414924553 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3822 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ZFQ31820 | MEDICARE | ||
| 03-1815 | MEDICARE | ||
| 03-1820 | MEDICARE | ||
| ZFQ31815 | MEDICARE | ||
| Z132429 | MEDICARE | ||
| 364775 | AZ | -- | |
| Z139132 | MEDICARE |
Post Comment/ Review Below
What is the Jonathan Forrest Russell's 1396934196?
The Jonathan Forrest Russell's NPI (National Provider Identifier) Number is 1396934196. 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 Jonathan Forrest Russell is physically located?
The Jonathan Forrest Russell is situated at the following address: 671 Sw Main St, Winston, OR 974966571.
What is Jonathan Forrest Russell's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jonathan Forrest Russell is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Jonathan Forrest Russell receive the assignment of its 1396934196 from the Centers for Medicare & Medicaid Services?
The Jonathan Forrest Russell was issued its 1396934196 by the Centers for Medicare & Medicaid Services on 2007-10-17.
When was the information regarding Jonathan Forrest Russell, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Jonathan Forrest Russell, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-05-20.
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