Individual
MR. RUSSELL STEPHEN SHAPIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
501 MAIN ST, SUITE 208, KLAMATH FALLS, OR 97601-6049
(541) 273-1166
(541) 273-1822
Mailing address
1172 HARBOR ISLE BLVD, KLAMATH FALLS, OR 97601-1297
(541) 331-9016
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
OR
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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