person
Jeffrey Robert Russo, DPM
Foot & Ankle Surgery Podiatrist in Mcminnville, Oregon
NPI 1598962060

Jeffrey Robert Russo is a Foot & Ankle Surgery Podiatrist based in Mcminnville, OR and is specialized in Foot & Ankle Surgery. Jeffrey Robert Russo practices in Mcminnville, OR and has the professional credentials of DPM. The NPI Number for Jeffrey Robert Russo is 1598962060 and holds a License No. DP00326 (Oregon).

The current practice location address for Jeffrey Robert Russo is 212 Ne Norton Ln, Mcminnville, OR and can be reached out via phone at 503-435-0130 and via fax at 503-435-0145. You can also correspond with Jeffrey Robert Russo through the mailing address at 235 SE NORTON LN, MCMINNVILLE, OR - 97128-8479 (mailing address contact number: 503-435-0130).

Location: 212 Ne Norton Ln, Mcminnville, OR, 97128-8479
person
Provider Profile Details
NPI Number
1598962060
Provider Name
Jeffrey Robert Russo
Credential
DPM
Provider Entity Type
Individual
Gender
Male
Address
212 Ne Norton Ln, Mcminnville, OR, 97128-8479
Phone Number
503-435-0130
Fax Number
503-435-0145
Provider Enumeration Date
06/28/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
231897 05 OR
institution
Provider Business Practice Location Address Details
Address
212 Ne Norton Ln
City
State
Zip
97128-8470
Phone Number
503-435-0130
Fax Number
503-435-0145
person
Provider Business Mailing Address Details
Address
212 Ne Norton Ln
City
State
Zip
97128-8470
Phone Number
503-435-0130
Fax Number
503-435-0145
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
DP00326 (Oregon)
Definition
Definition to come...
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