Jesse David Winslow Russell, PA-C

NPI #1659040590 in Canby, Oregon

Provider Information

NPI Number: 1659040590
Entity Type: Individual
Name: Jesse David Winslow Russell, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: PA-C
Enumeration Date: Sep 13, 2021
Last Updated: Oct 21, 2025

Practice Location

Address: 345 N GRANT ST
City: Canby
State: Oregon
ZIP Code: 97013-3689
Phone: (503) 266-2066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary
Physician Assistant	363A00000X

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