Jared Russell, PTA
Physical Therapy Assistant · McMinnville, OR
Practice location
421 S Evans StMcMinnville, OR 97128
- Phone
- (503) 472-3141
NPI record
- NPI
- 1841690286
- Entity type
- Individual (Type 1)
- Enumeration date
- September 3, 2014
- Last updated
- September 3, 2014
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X |
09077 | OR |
Mailing address
25117 SW Parkway Ave Ste DWilsonville, OR 97070-9697
About Jared Russell
Jared Russell, PTA is a healthcare provider registered in the NPI registry with the primary taxonomy Physical Therapy Assistant (code 225200000X). The practice location is 421 S Evans St, McMinnville, OR 97128. The NPI number 1841690286 was assigned on September 3, 2014 and the record was last updated on September 3, 2014.
Jared Russell lists a license in the registry: #09077 (OR) for Physical Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Russell, PTA?
The NPI number is 1841690286.
What is the phone number of Jared Russell?
The phone number listed for the practice location is (503) 472-3141.
Where is Jared Russell located?
421 S Evans St, McMinnville, OR 97128.
What is the taxonomy code for Jared Russell?
The primary taxonomy code is 225200000X – Physical Therapy Assistant.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Physical Therapy Assistant providers in McMinnville
- Denise J. Hawkins, P.T.A.300 NW Hillside Pkwy
- Kathleen Behunin, PTA421 S Evans Street
All Physical Therapy Assistant providers in McMinnville, OR →