KELLY HANH RUSSELL


Address: 1375 N 10th Ave, Stayton, OR 97383
Phone: 5037692641

KELLY HANH RUSSELL (NPI# 1346591898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346591898
Entity Type Individual
Full Name KELLY HANH RUSSELL
Credential PA-C
Practice Address 1375 N 10th Ave
Stayton
OR 97383
Mailing Address 1375 N 10th Ave
Stayton
OR 97383-2099
Practice Telephone 5037692641
Practice Fax Number 5037693797
Mailing Telephone 5037692641
Mailing Fax Number 5037693797
Enumeration Date 2012-09-24
Last Update Date 2018-05-15
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers
Y 363AM0700X Physician Assistant
Specialization: Medical
Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY RUSSELL

NPI Name Taxonomy Address Enumeration
1326468729 Kelly Russell Counselor 3415 Se Powell Blvd Trillium Family Services, Portland, OR 97202 2014-04-24
1376829838 Kelly C Russell Counselor 24 Pleasant St Rear, Newburyport, MA 01950-2610 2011-10-28
1336244763 Kelly Gravino Russell Social Worker 16 Bush Hill Rd, Ipswich, MA 01938-1642 2006-09-13
1154957652 Kelly Russell Advanced Practice Midwife 101 Dudley St, Providence, RI 02905-2401 2020-03-16
1942770409 Kelly Leonora Russell Counselor 611 12th Ave S, Seattle, WA 98144-2007 2018-11-27
1992179535 Kelly Marie Spegel Russell Psychologist 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 2015-11-19
1538375233 Kelly Shannon Russell Nurse Practitioner 200 N Easton, Allen, OK 74825-9713 2007-05-16
1205816923 Kelly Yvette Russell Anesthesiology 1850 N Central Ave, Ste1600, Phoenix, AZ 85004-4527 2006-01-19

Office Location

Street Address 1375 N 10TH AVE
City STAYTON
State OR
Zip Code 97383

Providers in the same location

NPI Name Taxonomy Address Enumeration
1316940919 Claire E King Family Medicine 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 2005-05-27
1932554680 Katie Elizabeth Metzger Physician Assistant 1375 N 10th Ave, Stayton, OR 97383-2099 2016-05-02
1801255120 Kelsey Marie Conklin Registered Nurse 1375 N 10th Ave, Stayton, OR 97383-2099 2016-02-15
1619341724 Carl Wallace Leder Physician Assistant 1375 N 10th Ave, Stayton, OR 97383-2099 2015-12-01
1215306634 Jennifer Rae Muller Nurse Practitioner 1375 N 10th Ave, Stayton, OR 97383-2099 2015-09-15
1790171874 Santiam Memorial Hospital Clinic/Center 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 2015-04-15
1083943617 Santiam Memorial Hospital Clinic/Center 1375 N 10th Ave, Suite B, Stayton, OR 97383-2037 2009-12-10
1912130915 Stayton Family Practice Inc Family Medicine 1375 N 10th Ave, Stayton, OR 97383-2037 2009-08-25
1447491121 Maria Margarita Turney Nurse Practitioner 1375 N 10th Ave, Suite B, Stayton, OR 97383-2099 2009-03-10
1659524494 Stayton Family Practice LLC Family Medicine 1375 N 10th Ave, Stayton, OR 97383-2037 2008-10-24
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1487204228 Bishop Stayton Lessee LLC Assisted Living Facility Elmcroft of Stayton, 2201 3rd Ave., Stayton, OR 97383 2019-09-13
1972097699 Nathan Daniel Hoover Pharmacist 1401 North 10th Ave, Stayton, OR 97383 2018-06-16
1801211560 Maria A Fife Nurse Practitioner 1095 N 1st Ave, Stayton, OR 97383 2014-03-04
1467771295 Jennifer Clorinda Brewer Obstetrics & Gynecology 1373 N. 10th Ave, Stayton, OR 97383 2010-05-18
1578785622 Lakeside Cottages Assisted Living Facility #310-369 Wildflower Drive, Stayton, OR 97383 2007-05-02
1215099627 Ritchie B Gooch Family Medicine 1377 N 10th Avenue, Stayton, OR 97383 2006-12-14
1710932710 Promotion Advanced Functional Rehab LLC Physical Therapy Assistant 601 N 1st Ave, Stayton, OR 97383 2006-05-24
1508352279 Madison Taylor Eymann Physical Therapist 1750 Wilco Rd, Stayton, OR 97383 2018-07-06
1154814390 Santiam Memorial Hospital Clinic/Center 1371 N 10th Ave, Stayton, OR 97383 2018-06-12
1912413147 Santiam Memorial Hospital Clinic/Center 1369 N 10th Ave, Stayton, OR 97383 2017-12-26
Find all providers in zip 97383

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932554680 Katie Elizabeth Metzger Physician Assistant 1375 N 10th Ave, Stayton, OR 97383-2099 2016-05-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1942808605 Pilar Lorena Lopez Physician Assistant 7675 Sw Spruce St, Tigard, OR 97223-8723 2020-10-15
1730787615 Michael Hisao Mun Ho Pang Physician Assistant 1245 Sw 160th Ave, Beaverton, OR 97006-5052 2020-10-13
1144834805 Logan Michael Johnston Physician Assistant 3319 Edgeview Ln, Forest Grove, OR 97116-1094 2020-09-01
1285255851 Darby Samantha Jalbert Physician Assistant 2480 Liberty St Ne Ste 110, Salem, OR 97301-8381 2020-05-05
1033751433 Trisha K Loch Physician Assistant 781 W Central, Sutherlin, OR 97479 2019-10-17
1154805729 Ronald William Strohmeyer Physician Assistant 2327 S.w. 4th Ave, Ontario, OR 97914 2018-09-19
1740797166 Joseph Something Physician Assistant 4800 Sw 76th Ave, Portland, OR 97225-1804 2018-01-08
1235687013 Satchel Harry Physician Assistant 417 Sw 117th Ave Fl 2, Portland, OR 97225-5924 2016-09-21
1093263386 Megan Smith Physician Assistant 375 Park Ave Ste 5, Coos Bay, OR 97420 2016-09-14
1659828044 Ryan Jones Physician Assistant 1775 Thompson Rd Bay Or97420, Coos Bay, OR 97420-2125 2016-09-02
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Competitor

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City STAYTON
Zip Code 97383

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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