Individual
RUSSELL REINBOLT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1046 6TH AVE SW, ALBANY, OR 97321-1916
(541) 812-4000
Mailing address
39000 BOB HOPE DR, RANCHO MIRAGE, CA 92270-3221
(760) 340-3911
(760) 773-4399
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
A75040
CA
207P00000X
Emergency Medicine Physician
Primary
MD212329
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A750400
—
CA
Enumeration date
03/08/2006
Last updated
11/06/2025
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