NPI 1003864927

Christopher R Russell, PAC

Practitioner Physician Assistant Bend, OR

Practice location

Address: 2065 NE Tucson Way APT 110, Bend, OR 97701-5182
Phone: (541) 383-3005
Fax: (541) 383-1883
Mailing address: 600 SW Columbia St STE 6250, Bend, OR 97702-1099

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence PA01083 (OR)

Other Physician Assistant providers in Oregon →

Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence AMD-445 (HI)

Registry record

NPI: 1003864927
Entity type: Individual
Sex (as registered): Male
NPI issued: 4 May 2006
Record last updated: 24 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.