| Theresa A Russell, FNP | |
|
406 Ne 1st St, Enterprise, OR 97828-1168 | |
| (541) 426-4502 | |
| (541) 426-6403 |
| Full Name | Theresa A Russell |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 406 Ne 1st St, Enterprise, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629061981 | NPI | - | NPPES |
| 5966011 | Other | OR | BCBS |
| J054905 | Other | OR | PACIFIC SOURCE |
| 276716 | Medicaid | OR | |
| 500008058 | Other | OR | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 91000286 (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Theresa A Russell, FNP 406 Ne 1st St, Enterprise, OR 97828-1168 Ph: (541) 426-4502 | Theresa A Russell, FNP 406 Ne 1st St, Enterprise, OR 97828-1168 Ph: (541) 426-4502 |
Jennifer Little, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-5460 Fax: 541-426-7901 | |
Shannon Elizabeth Wiedeman, NP AND RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 207 Sw 1st St, Enterprise, OR 97828 Phone: 541-426-0801 Fax: 541-426-0802 | |
Anna L Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 509-855-2438 | |
Ms. Katie L Weller, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 603 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-7900 Fax: 541-426-7901 | |
Sarah Georgine Peterson, DNP,ARNP,FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 107 North River Street, Suite B, Enterprise, OR 97828 Phone: 541-263-1225 | |
Jacqueline Marie Russell, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 606 Medical Pkwy, Enterprise, OR 97828 Phone: 541-426-4524 Fax: 541-426-3035 |