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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JARED RUSSELL, PTA

Active Sole Proprietor

JARED RUSSELL, PTA is a Occupational Therapist healthcare provider located in MCMINNVILLE, Oregon. NPI 1841690286 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MCMINNVILLE, OR

Registration Details

NPI Number
1841690286
Provider Type
Individual
Gender
Male
NPI Issued
Sep 3, 2014 (11.906151500162 yrs)
Last Updated
Sep 3, 2014
License
09077 (OR)
Sole Proprietor
Yes

Practice Information

Address
421 S EVANS ST
MCMINNVILLE, OR, 97128
Browse OR providers · Browse ZIP 97128
Phone
5034723141
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in MCMINNVILLE, OR

Name Credential NPI
DENISE J HAWKINS P.T.A. 1073899480
KATHLEEN BEHUNIN PTA 1417493792
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.