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1194075333
JAMES DOUGLAS RUSSELL
PORTLAND, OR
NPI
1194075333
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 081003217RN)
Enumeration Date
2012-09-14
Last Update Date
2012-09-14
Business Address
Mr. JAMES DOUGLAS RUSSELL RN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number: 503-215-6556
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Mailing Address
Mr. JAMES DOUGLAS RUSSELL RN
4531 SE BELMONT ST
PORTLAND, OR 97215-1675
Phone number:
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