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1558576546
JONATHAN RUSSELL
CLACKAMAS, OR
NPI
1558576546
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: OR 2838t)
Enumeration Date
2007-05-11
Last Update Date
2015-08-19
Business Address
Dr. JONATHAN RUSSELL OD
12100 SE STEVENS CT SUITE 106
CLACKAMAS, OR 97086-4707
Phone number: 503-353-7300
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Mailing Address
Dr. JONATHAN RUSSELL OD
4435 SE 43RD AVE
PORTLAND, OR 97206-4003
Phone number:
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