Maria Jeanette Russell

NPI #1053131060 in Newberg, Oregon

Provider Information

NPI Number: 1053131060
Entity Type: Individual
Name: Maria Jeanette Russell
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Oct 14, 2024
Last Updated: Oct 14, 2024

Practice Location

Address: 414 N MERIDIAN ST
City: Newberg
State: Oregon
ZIP Code: 97132-2697
Phone: (503) 554-2521

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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