DR. JONATHAN RUSSELL, OD
Optometrist
Active
Individual
NPI: 1558576546
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Optometrist | 152W00000X | Yes | 2838T (OR) |
Frequently Asked Questions
NPI 1558576546 is the National Provider Identifier for DR. JONATHAN RUSSELL, OD, a Optometrist provider located in Clackamas, OR. This NPI was enumerated on May 11, 2007.
DR. JONATHAN RUSSELL, OD practices at 12100 SE STEVENS CT, SUITE 106, Clackamas, OR 97086.
Quick Facts
- NPI
- 1558576546
- Type
- Individual
- Enumerated
- May 11, 2007
- Last Updated
- Aug 19, 2015
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