Individual
RUSSELL ROBERT KINDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10000 SE MAIN ST STE 128, PORTLAND, OR 97216-2462
(503) 251-6835
(503) 251-6836
Mailing address
10000 SE MAIN ST STE 128, PORTLAND, OR 97216-2462
(503) 251-6835
(503) 251-6836
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD156934
OR
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD60232145
WA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD156934
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316140965
—
WA
Enumeration date
06/08/2007
Last updated
03/17/2018
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