Organization
WILLAMETTE VALLEY FOOT & ANKLE CENTER PC
Active
Organization
WILLAMETTE VALLEY FOOT & ANKLE CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY R RUSSO DPM (PRESIDENT)
(503) 435-0130
Entity
Organization
Contact information
Practice address
212 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 435-0130
(503) 435-0145
Mailing address
212 NE NORTON LN, MCMINNVILLE, OR 97128-8470
(503) 435-0130
(503) 435-0145
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231897
—
OR
Enumeration date
01/10/2006
Last updated
02/21/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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