Russell, Christopher R
Russell, Christopher R is an individual health care provider with primary practice located at 2065 Ne Tucson Way Apt 110 , Bend OR 97701-5182. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Russell, Christopher R can be contacted via phone (541) 383-3005.Contact Information
Primary practice address
2065 Ne Tucson Way Apt 110
Bend OR 97701-5182
Phone: (541) 383-3005
Fax: (541) 383-1883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | AMD-445 | Hawaii |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA01083 | Oregon |
Profile Details
| NPI number | 1003864927 |
|---|---|
| LBN Legal business name | Russell, Christopher R |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jan 24th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003864927 | NPPES |
| Hawaii | MEDICAID | 695299 |
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