Russell, Jeffrey Kirk
Russell, Jeffrey Kirk is an individual health care provider with primary practice located at 907 Georgiana St , Port Angeles WA 98362-3911. 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, Jeffrey Kirk can be contacted via phone (360) 565-0999.Contact Information
Primary practice address
907 Georgiana St
Port Angeles WA 98362-3911
Phone: (360) 565-0999
Fax: (360) 565-9251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60898671 | Washington |
Profile Details
| NPI number | 1801871421 |
|---|---|
| LBN Legal business name | Russell, Jeffrey Kirk |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Mar 11th, 2020 - about 5 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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