Search › Montana › 363LF0000X

Sadie Russell

NPI 1578914396 · on the registry since 2016

Practice

Address
3075 N Reserve St Ste Q
Missoula, MT 59808
Phone
(406) 327-1850
Fax
(406) 327-1875
Organisation at this address
Shoptikal Llc
Providence Health & Services Mt
Providence Health & Services Mt
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Additional practice sites

  • 715 Main St Ste A, Stevensville, MT
  • 2819 Great Northern Loop Ste 200, Missoula, MT
  • 900 N Orange St Ste 303, Missoula, MT
  • 5011 W Lowell Ave Ste 100, Spokane, WA
  • 500 W Broadway St, Missoula, MT

Registry record

Primary taxonomy
363LF0000X
363LF0000X
Licence states on file
MT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-05-11

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 Montana