JONATHAN RUSSELL

CLACKAMAS, OR
NPI1558576546
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: OR  2838t)
Enumeration Date2007-05-11
Last Update Date2015-08-19
Business Address
Dr. JONATHAN RUSSELL OD
12100 SE STEVENS CT SUITE 106
CLACKAMAS, OR 97086-4707
Phone number: 503-353-7300
Mailing Address
Dr. JONATHAN RUSSELL OD
4435 SE 43RD AVE
PORTLAND, OR 97206-4003
Phone number: