Individual
DR. MICHAEL JASON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2767 OLIVE HWY, OROVILLE, CA 95966-6118
(530) 533-8500
(530) 532-8370
Mailing address
4820 ORO DAM BLVD E, OROVILLE, CA 95966-9274
(907) 580-6525
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
100876
AK
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
C152203
CA
Other
Enumeration date
07/31/2007
Last updated
09/27/2019
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