Russell, Joseph Michael John

Russell, Joseph Michael John is an individual health care provider with primary practice located at 2830 Crescent Ave , Eugene OR 97408-7397. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Russell, Joseph Michael John can be contacted via phone (541) 686-9000.

Contact Information

Primary practice address
2830 Crescent Ave Eugene OR 97408-7397
Phone: (541) 686-9000
Fax: (541) 242-4585
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1730424805
LBN Legal business name Russell, Joseph Michael John
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2012
Last updated Nov 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730424805 NPPES
Oregon MEDICAID 500654869

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