Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY ROBERT RUSSO, D.P.M.
Active Sole ProprietorJEFFREY ROBERT RUSSO, D.P.M. is a Foot & Ankle Surgery Podiatrist healthcare provider located in MCMINNVILLE, Oregon. NPI 1598962060 is currently active in the NPPES registry. Verify at CMS.
Foot & Ankle Surgery Podiatrist · MCMINNVILLE, OR
Registration Details
- NPI Number
- 1598962060
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 28, 2007 (19.170161552444 yrs)
- Last Updated
- Dec 9, 2016
- License
-
DP00326 (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
212 NE NORTON LNMCMINNVILLE, OR, 971288470Browse OR providers · Browse ZIP 97128
- Phone
- 5034350130
- Fax
- 5034350145
- Primary Specialty
-
Foot & Ankle Surgery Podiatrist
213ES0103X
Other Foot & Ankle Surgery Podiatrist Providers in MCMINNVILLE, OR
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID MATTHEW WELLIKOFF | D.P.M. | 1306881172 |
| MATTHEW WILLIAM ELWOOD LEWIN | DPM | 1245618842 |
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.