JESSE RUSSELL, PA-C
Family Medicine
Active
Individual
NPI: 1659040590
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | PA203927 (OR) |
| Physician Assistant | 363A00000X | No | - |
Frequently Asked Questions
NPI 1659040590 is the National Provider Identifier for JESSE RUSSELL, PA-C, a Family Medicine provider located in Canby, OR. This NPI was enumerated on September 13, 2021.
JESSE RUSSELL, PA-C practices at 345 N GRANT ST, Canby, OR 97013.
Quick Facts
- NPI
- 1659040590
- Type
- Individual
- Enumerated
- Sep 13, 2021
- Last Updated
- Oct 21, 2025
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