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Contact Information

ROBERT R RUSSELL, DMD, MD
911 MAIN ST
SUITE 180
OREGON CITY, OR97045-1867
 Phone: 503-650-6116
 Fax: 503-650-6198
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Oral & Maxillofacial Surgery

204E00000X 02 Physician/General Surgery
 

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ROBERT R RUSSELL · (Male)

NPI Number 1861605487
Status Active
Credentials DMD, MD
Entity Individual
Enumeration date 05/08/2007
Last updated 06/02/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD28928
  • TX License # 21510
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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