Individual
DR. RUSSELL ALLEN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
615 E 2ND ST, NEWBERG, OR 97132-3100
(503) 538-7717
(503) 538-7727
Mailing address
PO BOX 464, SHERWOOD, OR 97140-0464
(503) 292-6773
(503) 246-4206
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9083
OR
Other
Enumeration date
05/29/2008
Last updated
05/29/2008
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