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Debra Russell
NPI 1760658462 · on the registry since 2008
Practice
- Address
- 1507 Ne 122nd Ave
Portland, OR 97230 - Phone
- (971) 806-1436
- Clinicians at this address
- 29
Additional practice sites
- 11035 Ne Sandy Blvd, Portland, OR
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 171M00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-06-11
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 Oregon