Ashley Russell

NPI #1780395582 in Sisters, Oregon

Provider Information

NPI Number
1780395582
Entity Type
Individual
Name
Ashley Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Religious Nonmedical Practitioner
Enumeration Date
Dec 12, 2022
Last Updated
Dec 12, 2022

Practice Location

Address
13929 HAWKS BEARD
State
Oregon
ZIP Code
97759-0089
Phone
(541) 623-0711

Specialties & Taxonomy Codes

Specialty
Religious Nonmedical Practitioner

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