NPI Profile for Dr ROBERT R RUSSELL in OREGON CITY, OR.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Oral & Maxillofacial Surgery |
204E00000X | 02 | Physician/General Surgery | |
Dentist |
122300000X |
| 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 |
|
|
| Hospital affiliation(s) | Not Available |
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ROBERT R RUSSELL
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