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.
Identifier | Type | State | Issuer |
---|---|---|---|
5966011 | 01 | OR | BCBS |
J054905 | 01 | OR | PACIFIC SOURCE |
276716 | 05 | OR | |
500008058 | 01 | OR | MEDICARE RAILROAD |
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