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Jonathan Russell, PA
NPI 1396934196 · on the registry since 2007
Practice
- Address
- 671 Sw Main St
Winston, OR 97496 - Phone
- (541) 492-4550
- Fax
- (541) 679-2005
- Organisation at this address
- Oregon Community Dental Care
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 18
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-03-05
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 Oregon