Individual
KELLY HANH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2830 CRESCENT AVE, EUGENE, OR 97408-7397
(541) 686-9000
(541) 242-4585
Mailing address
PO BOX 35380, LAS VEGAS, NV 89133-5380
(702) 579-3203
(702) 838-1456
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
09/24/2012
Last updated
10/21/2025
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