Russell, Jonathan
Russell, Jonathan is an sole proprietor health care provider with primary practice located at 12100 Se Stevens Ct Suite 106, Clackamas OR 97086-4707. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Russell, Jonathan can be contacted via phone (503) 353-7300.Contact Information
Primary practice address
12100 Se Stevens Ct Suite 106
Clackamas OR 97086-4707
Phone: (503) 353-7300
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2838T | Oregon |
Profile Details
| NPI number | 1558576546 |
|---|---|
| LBN Legal business name | Russell, Jonathan |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 11th, 2007 |
| Last updated | Aug 19th, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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