Search › Oregon › 363A00000X
Jesse Russell, PA-C
NPI 1659040590 · on the registry since 2021
Practice
- Address
- 1185 S Elm St
Canby, OR 97013 - Phone
- (503) 723-4660
- Fax
- (503) 266-6649
- Clinicians at this address
- 9
Additional practice sites
- 345 N Grant St, Canby, OR
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 207Q00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-07-23
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