KELLY HANH RUSSELL

STAYTON, OR
NPI1346591898
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
Additional Taxonomies363A00000X Physician Assistant
Enumeration Date2012-09-24
Last Update Date2018-05-15
Business Address
KELLY HANH RUSSELL PA-C
1375 N 10TH AVE
STAYTON, OR 97383
Phone number: 503-769-2641
Mailing Address
KELLY HANH RUSSELL PA-C
1375 N 10TH AVE
STAYTON, OR 97383-2099
Phone number: 503-769-2641
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