Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JENNIFER RUSSELL, DVM
Active Sole ProprietorVeterinarian · WASHOUGAL, WA
Registration Details
- NPI Number
- 1164850137
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 29, 2013 (12.54084598544 yrs)
- Last Updated
- Oct 29, 2013
- Licenses
-
VT60410284 (WA)5806 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3501 EVERGREEN WAYWASHOUGAL, WA, 986719142Browse WA providers · Browse ZIP 98671
- Phone
- 3608352184
- Fax
- 3608352186
- Primary Specialty
-
Veterinarian
174M00000X
- Additional Specialty
- Veterinarian
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.