person
Theresa A Russell, FNP
Family Nurse Practitioner in Enterprise, Oregon
NPI 1629061981

Theresa A Russell is a Family Nurse Practitioner based in Enterprise, OR and is specialized in Family. Theresa A Russell practices in Enterprise, OR and has the professional credentials of FNP. The NPI Number for Theresa A Russell is 1629061981 and holds a License No. 91000286 (Oregon).

The current practice location address for Theresa A Russell is 406 Ne 1St St, Enterprise, OR and can be reached out via phone at 541-426-4502 and via fax at 541-426-6403.

Location: 406 Ne 1St St, Enterprise, OR, 97828-1168
person
Provider Profile Details
NPI Number
1629061981
Provider Name
Theresa A Russell
Credential
FNP
Provider Entity Type
Individual
Gender
Female
Address
406 Ne 1St St, Enterprise, OR, 97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
5966011 01 OR BCBS
J054905 01 OR PACIFIC SOURCE
276716 05 OR
500008058 01 OR MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
406 Ne 1St St
City
State
Zip
97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
person
Provider Business Mailing Address Details
Address
406 Ne 1St St
City
State
Zip
97828-1168
Phone Number
541-426-4502
Fax Number
541-426-6403
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
91000286 (Oregon)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.