Hyde, Russell W

Hyde, Russell W is an sole proprietor health care provider with primary practice located at 3600 Nw Samaritan Dr , Corvallis OR 97330-5472. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Hyde, Russell W can be contacted via phone (541) 768-5111.

Contact Information

Primary practice address
3600 Nw Samaritan Dr Corvallis OR 97330-5472
Phone: (541) 768-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 5101025855 Michigan
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 5101025855 Michigan
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Ohio
Allopathic & Osteopathic Physicians / Surgery 208600000X DO209456 Oregon

Profile Details

NPI number 1073877858
LBN Legal business name Hyde, Russell W
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2012
Last updated Mar 21st, 2022 - about 3 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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