Individual
DAVID P RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
(541) 386-9540
Mailing address
1010 10TH ST, HOOD RIVER, OR 97031-1565
(541) 386-9500
(541) 386-9540
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
46091
MN
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
DO26464
OR
Other
Enumeration date
01/18/2006
Last updated
09/26/2018
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