Individual
MS. SARAH RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
170 FORD RD, JOHN DAY, OR 97845
(541) 575-1311
(541) 575-1255
Mailing address
PO BOX 623, JOHN DAY, OR 97845
(541) 575-4157
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3948
OR
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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