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Bohdan Russum
NPI 1104771526 · on the registry since 2026 · sole proprietor
Practice
- Address
- 500 Crown Point Cir
Grass Valley, CA 95945 - Phone
- (415) 847-8420
- Organisation at this address
- Laura Wilcox
County Of NevadaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 190
Registry record
- Primary taxonomy
- Adult Companion
372600000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-03-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California