Russell, David Joseph
Russell, David Joseph is an individual health care provider with primary practice located at 2200 Bryant Williams Dr , Klamath Falls OR 97601-1120. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Russell, David Joseph can be contacted via phone (541) 274-2894.Contact Information
Primary practice address
2200 Bryant Williams Dr
Klamath Falls OR 97601-1120
Phone: (541) 274-2894
Fax: (541) 274-3392
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A89958 | California |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | MD28531 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD28531 | Oregon |
Profile Details
| NPI number | 1578727996 |
|---|---|
| LBN Legal business name | Russell, David Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 15th, 2008 |
| Last updated | Jul 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578727996 | NPPES |
| Oregon | MEDICAID | 024213 |
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