Individual
ABBY JEAN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
227 NW 3RD AVE, CANBY, OR 97013-3640
(503) 416-4547
(503) 416-4553
Mailing address
7320 SW HUNZIKER RD STE 300, PORTLAND, OR 97223-2302
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8960
OR
Other
Enumeration date
01/10/2025
Last updated
01/10/2025
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