Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JONATHAN RUSSELL, OD
Active Sole ProprietorDR. JONATHAN RUSSELL, OD is a Optometrist healthcare provider located in CLACKAMAS, Oregon. NPI 1558576546 is currently active in the NPPES registry. Verify at CMS.
Optometrist · CLACKAMAS, OR
Registration Details
- NPI Number
- 1558576546
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 11, 2007 (19.230375242178 yrs)
- Last Updated
- Aug 19, 2015
- License
-
2838T (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
12100 SE STEVENS CTSUITE 106CLACKAMAS, OR, 970864707Browse OR providers · Browse ZIP 97086
- Phone
- 5033537300
- Primary Specialty
-
Optometrist
152W00000X
Other Optometrist Providers in CLACKAMAS, OR
| Name | Credential | NPI |
|---|---|---|
| DR. BETH RACHEL GABBARD | O.D. | 1518902089 |
| DR. BRET A. PROVOST | O.D. | 1528093556 |
| MARK EDWARD MCLAIN | O.D. | 1356446900 |
| BRUCE ROBERT WOJCIECHOWSKI | OD | 1437247533 |
| DR. DAVID J BAREY | O.D. | 1619183712 |
| DR. CARRIE LYNN BREEDEN | O.D. | 1528216793 |
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.