Dr Jonathan Russell, OD | |
12100 Se Stevens Ct, Suite 106, Clackamas, OR 97086-4707 | |
(503) 353-7300 | |
Not Available |
Full Name | Dr Jonathan Russell |
---|---|
Gender | Male |
Speciality | Optometry |
Experience | 23 Years |
Location | 12100 Se Stevens Ct, Clackamas, Oregon |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558576546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
152W00000X | Optometrist | 2838T (Oregon) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Kaiser Foundation Health Plan Of The Northwest | 5799688230 | 1484 |
Provider Name | Kaiser Foundation Health Plan Of The Northwest |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1184786527 PECOS PAC ID: 5799688230 Enrollment ID: O20040130000799 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan Russell, OD 4435 Se 43rd Ave, Portland, OR 97206-4003 Ph: () - | Dr Jonathan Russell, OD 12100 Se Stevens Ct, Suite 106, Clackamas, OR 97086-4707 Ph: (503) 353-7300 |
Derik Hardesty, OD Optometrist Medicare: Medicare Enrolled Practice Location: 12000 Se 82nd Ave, Clackamas, OR 97086 Phone: 503-659-5947 | |
Dr. Julia Sirianni, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Allie De La Cruz, Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
Jonathan Jay Attiyah, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Rachel A Jorgensen, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr Ste 101, Clackamas, OR 97015 Phone: 503-657-0321 | |
John William Reski, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 15259 Se 82nd Dr, Suite 101, Clackamas, OR 97015 Phone: 503-657-0321 Fax: 503-657-7066 | |
Mark Edward Mclain, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 12100 Se Stevens Ct Suite 106, Clackamas, OR 97086 Phone: 503-353-7269 |