Individual
RUSSELL HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2700 NW STEWART PKWY, ANNEX A, ROSEBURG, OR 97471-1281
(541) 672-5667
(541) 672-1048
Mailing address
2700 NW STEWART PKWY, ANNEX A, ROSEBURG, OR 97471-1281
(541) 672-5667
(541) 672-1048
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/09/2008
Last updated
04/13/2010
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