Individual
DR. JENNIFER RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DVM
Contact information
Practice address
3501 EVERGREEN WAY, WASHOUGAL, WA 98671-9142
(360) 835-2184
(360) 835-2186
Mailing address
3501 EVERGREEN WAY, WASHOUGAL, WA 98671-9142
(360) 835-2184
(360) 835-2186
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
5806
OR
174M00000X
Veterinarian
Primary
VT60410284
WA
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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