FERN GILDA RUSSAK

PORTLAND, OR
NPI1831201334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: OR  MD24761)
Additional Taxonomies208000000X Pediatrics
(Licence: WA  MD00044048)
208000000X Pediatrics
(Licence: CA  G64232)
Enumeration Date2006-08-31
Last Update Date2007-07-08
Business Address
Dr. FERN GILDA RUSSAK MD
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-285-9321
Mailing Address
Dr. FERN GILDA RUSSAK MD
938 NE HAZELFERN PL
PORTLAND, OR 97232-2628
Phone number: 503-331-6440