RUSSELL STEPHEN SHAPIRO

KLAMATH FALLS, OR
NPI1740379171
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: OR  200650114 NP)
Enumeration Date2006-10-12
Last Update Date2007-07-08
Business Address
Mr. RUSSELL STEPHEN SHAPIRO PMHNP
501 MAIN ST SUITE 208
KLAMATH FALLS, OR 97601-6049
Phone number: 541-273-1166
Mailing Address
Mr. RUSSELL STEPHEN SHAPIRO PMHNP
1172 HARBOR ISLE BLVD
KLAMATH FALLS, OR 97601-1297
Phone number: 541-331-9016