Christopher R Russell, PA-C

NPI #1003864927 in Bend, Oregon

Provider Information

NPI Number: 1003864927
Entity Type: Individual
Name: Christopher R Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: May 4, 2006
Last Updated: Jan 24, 2023

Practice Location

Address: 2065 NE TUCSON WAY APT 110
City: Bend
State: Oregon
ZIP Code: 97701-5182
Phone: (541) 383-3005

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant	363A00000X	Primary

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