Russell, Jared

Russell, Jared is an sole proprietor health care provider with primary practice located at 421 S Evans St , Mcminnville OR 97128. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Russell, Jared can be contacted via phone (503) 472-3141.

Contact Information

Primary practice address
421 S Evans St Mcminnville OR 97128
Phone: (503) 472-3141
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 09077 Oregon

Profile Details

NPI number 1841690286
LBN Legal business name Russell, Jared
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2014
Last updated Sep 3rd, 2014 - 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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