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Contact Information

DAVID P RUSSO, DO
1010 10TH ST
HOOD RIVER, OR97031-1565
 Phone: 541-386-9500
 Fax: 541-386-9540
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for DAVID P RUSSO · (Male)

NPI Number 1184604183
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 01/18/2006
Last updated 09/26/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 46091
  • OR License # DO26464
Hospital affiliation(s)
  • MID-COLUMBIA MEDICAL CENTER - (Acute Care)
    1700 E 19TH STREET
    THE DALLES, OR 97058
  • PROVIDENCE HOOD RIVER MEMORIAL HOSPITAL - (Critical Access)
    810 12TH STREET
    HOOD RIVER, OR 97031
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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