Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JONATHAN FORREST RUSSELL, PA
ActiveMR. JONATHAN FORREST RUSSELL, PA is a Physician Assistant healthcare provider located in WINSTON, Oregon. NPI 1396934196 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WINSTON, OR
Registration Details
- NPI Number
- 1396934196
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 17, 2007 (18.644078827667 yrs)
- Last Updated
- Mar 5, 2025
- License
-
161337 (OR)
Practice Information
- Address
-
671 SW MAIN STWINSTON, OR, 974966571Browse OR providers · Browse ZIP 97496
- Phone
- 5414924550
- Fax
- 5416792005
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WINSTON, OR
| Name | Credential | NPI |
|---|---|---|
| LAECEY MAE FOSTER | — | 1649016668 |
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.