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Mr. Jonathan Forrest Russell, PA
Physician Assistant in Winston, Oregon
NPI 1396934196

Jonathan Forrest Russell is a Physician Assistant based in Winston, OR. Jonathan Forrest Russell practices in Winston, OR and has the professional credentials of PA. The NPI Number for Jonathan Forrest Russell is 1396934196 and holds a License No. 3822 (Oregon).

The current practice location address for Jonathan Forrest Russell is 221 Ne Main St, Winston, OR and can be reached out via phone at 541-492-4550 and via fax at 541-679-2005. You can also correspond with Jonathan Forrest Russell through the mailing address at 671 SW MAIN ST, WINSTON, OR - 97496-6571 (mailing address contact number: 541-492-4550).

Location: 221 Ne Main St, Winston, OR, 97496-6571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396934196
Provider Name
Jonathan Forrest Russell
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
221 Ne Main St, Winston, OR, 97496-6571
Phone Number
541-492-4550
Fax Number
541-679-2005
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZFQ31820 01 MEDICARE
03-1815 01 MEDICARE
03-1820 01 MEDICARE
ZFQ31815 01 MEDICARE
Z132429 01 MEDICARE
364775 05 AZ
Z139132 01 MEDICARE
institution
Provider Business Practice Location Address Details
Address
221 Ne Main St
City
Winston
State
Oregon
Zip
97496-6562
Phone Number
541-492-4550
Fax Number
541-679-2005
person
Provider Business Mailing Address Details
Address
221 Ne Main St
City
Winston
State
Oregon
Zip
97496-6562
Phone Number
541-492-4550
Fax Number
541-679-2005
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
3822 (Arizona)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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