Individual
DR. JUNE MARILYN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, L102, PORTLAND, OR 97239-3011
(503) 494-6552
Mailing address
PO BOX 87313, VANCOUVER, WA 98687-7313
(360) 256-7820
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD 00021104
WA
Other
Enumeration date
11/25/2009
Last updated
11/25/2009
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