# CLINTON R HARRELL DDS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982554887
- **Authorized official:** CLINTON RUSSELL HARRELL DDS (OWNER/DENTIST)
- **Authorized official phone:** (360) 624-4152

## Contact information

- **Practice address:** 3606 MAIN ST STE 103, VANCOUVER, WA 98663-2235
- **Practice address phone:** (360) 624-4152
- **Mailing address:** 3606 MAIN ST STE 103, VANCOUVER, WA 98663-2235
- **Mailing address phone:** (360) 624-4152

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/30/2026
- **Last updated:** 01/30/2026