MS. MARY CATHERINE RUSSELL (NPI# 1659435915) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659435915 |
| Entity Type | Individual |
| Full Name | MS. MARY CATHERINE RUSSELL |
| Credential | FNP |
| Practice Address |
3710 Sw Us Veterans Hosp Rd Portland OR 97207 |
| Mailing Address |
2233 Ne 41st Ave Portland OR 97212-5412 |
| Practice Telephone | 5032208262 |
| Practice Fax Number | 5037211070 |
| Mailing Telephone | 5032208262 |
| Mailing Fax Number | 5037211070 |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
20050116 | OR | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720551203 | Mary Kathleen Russell | Speech-Language Pathologist | 110 E Huron Ave Ste A, Bad Axe, MI 48413-1312 | 2019-01-07 |
| 1609253145 | Mary Kathleen Russell | Ophthalmology | 259 E Erie St Ste 1500, Chicago, IL 60611-3111 | 2015-05-05 |
| 1265837025 | Mary Russell | Nurse Practitioner | 1519 Clifftop Ave, San Marcos, CA 92078-1075 | 2014-10-22 |
| 1538413323 | Mary Ann Russell | Counselor | 1309 Pioneer Ave Ne, Olympia, WA 98506-3356 | 2012-11-01 |
| 1194019158 | Mary Elizabeth Russell | Physical Medicine & Rehabilitation | 920 Medical Plaza Dr Ste 340, Shenandoah, TX 77380-3256 | 2011-06-07 |
| 1912234071 | Mary Monica Russell | Dietitian, Registered | 1702 East Rose Creek Parkway South, Fargo, ND 58104-6834 | 2009-11-11 |
| 1548320047 | Mary E Russell | Internal Medicine | 343 Russell St, Carlisle, MA 01741-1713 | 2006-12-12 |
| 1083711808 | Mary Michelle Russell | Physical Therapist | 1 Bates Blvd Ste 100, Orinda, CA 94563-2800 | 2006-09-20 |
| 1447258652 | Mary C Russell | Nurse Practitioner | 180 Emory Rd, Blaine, TN 37709-2420 | 2005-07-12 |
| 1417518747 | Mary Eileen Kumah Russell | Nurse Practitioner | 6644 E Baywood Ave, Mesa, AZ 85206-1747 | 2019-06-26 |
| Street Address |
3710 SW US VETERANS HOSP RD |
| City | PORTLAND |
| State | OR |
| Zip Code | 97207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588862668 | Kelly Anne Goudreau | Registered Nurse | 3710 Sw Us Veterans Hosp Rd, Portland, OR 97207-1034 | 2007-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134285620 | Natalia Hanavan | Orthotist | 3710 Sw Us Veteran's Hospital Rd, Portland, OR 97207 | 2006-12-29 |
| 1467545996 | Michael Philip Resnick | Psychiatry & Neurology | 3181 Ssam Jackson Park Rd, Portland, OR 97207 | 2006-10-02 |
| 1609969435 | Patricia A Sosnovec | Nurse Practitioner | 3710 Sw Us Veterans Hospital Road V3-mhd, Portland, OR 97207 | 2006-10-02 |
| 1447358866 | Alison Elaine Hopkins | Nurse Practitioner | 3710 Sw Us, Veterans Hospital Road, Portland, OR 97207 | 2006-09-20 |
| 1518060805 | Michael Vernon Eddington | Social Worker | Va Medical Center(v3cnh), Sam Jackson Blvd, Portland, OR 97207 | 2006-09-05 |
| 1194827493 | Charlotte Ann Sunderland | Nurse Practitioner | Veterans Medical Center, P3 Card, Division of Cardiolog, Us Veterans Hospital Road, Portland, OR 97207 | 2006-09-05 |
| 1134237621 | Linda Louise Humphrey | Internal Medicine | 3710 Sw Us Vetserans Hospital Rd, Portland, OR 97207 | 2006-08-26 |
| 1821105222 | Gina L Ortola | Psychologist | Portland Vamc, 3710 Sw Us Veterans Hospital Road, Portland, OR 97207 | 2006-08-23 |
| 1841307238 | Matthew Peter Kaul | Physical Medicine & Rehabilitation | 3710 Sw Us Veteran's Hospital Rd., Portland, OR 97207 | 2006-08-23 |
| 1033122825 | Clara F Chambers | Pharmacist | 3710 Us Veterans Road Sw, Vancouver Pharmacy V-2phar, Portland, OR 97207 | 2006-08-14 |
| Find all providers in zip 97207 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043822794 | Danielle Langer | Nurse Practitioner | 35 Ridgeview Rd, Portland, CT 06480-4014 | 2020-08-23 |
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1114566650 | Sadie Garnache-poirier | Nurse Practitioner | 65 W Commercial St Ste 107, Portland, ME 04101-4789 | 2020-01-02 |
| 1902441629 | Jennifer Marie Colpitts | Nurse Practitioner | 1600 Congress St Ste B, Portland, ME 04102-2148 | 2019-11-18 |
| 1477102689 | Raquel A Bishop | Nurse Practitioner | 12400 Nw Cornell Rd Ste 100, Portland, OR 97229 | 2019-09-10 |
| 1265081640 | Christina Lee | Nurse Practitioner | 144 State St # 1, Portland, ME 04101-3776 | 2019-09-09 |
| 1407401474 | Abby Christine Vopal | Nurse Practitioner | 66 Bramhall St Fl 1, Portland, ME 04102-3355 | 2019-08-07 |
| 1770145294 | Cynthia Marie Martinez | Nurse Practitioner | 1145 Austin St, Portland, TX 78374-2013 | 2019-07-04 |
| 1528532306 | Matthew James Keelin | Nurse Practitioner | 6801 Ne Cornfoot Rd, Portland, OR 97218-2743 | 2019-01-15 |
| 1659847580 | Colleen Jeanette Scott | Nurse Practitioner | 650 Nw Irving St, Portland, OR 97209-1272 | 2018-10-18 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.