RUSSEL DONNAN SMITH


Address: 3567 Ne Tillamook St, Portland, OR 97212-5158
Phone: 7738109072

RUSSEL DONNAN SMITH (NPI# 1962488585) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962488585
Entity Type Individual
Full Name RUSSEL DONNAN SMITH
Credential MD
Practice Address 3567 Ne Tillamook St
Portland
OR 97212-5158
Practice Telephone 7738109072
Mailing Telephone 7738109072
Enumeration Date 2005-12-15
Last Update Date 2015-03-23
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
2005012199 MO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NY 00861014 05

Other Providers RUSSEL SMITH

NPI Name Taxonomy Address Enumeration
1982752028 Russel Alan Smith Chiropractor 1579 N Main St, Suite 106, Cedar City, UT 84720-9750 2007-01-08
1184685158 Russel N Smith IIi Family Medicine 5900 Coliseum Blvd, Alexandria, LA 71303-3714 2006-03-30

Office Location

Street Address 3567 NE TILLAMOOK ST
City PORTLAND
State OR
Zip Code 97212-5158

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285191361 Beliving Counseling and Consulting Counselor 311 Ne Russell Street, #211, Portland, OR 97212 2019-02-26
1497223051 Shira Dennis Behavioral Analyst 3424 Ne Tillamook St., Portland, OR 97212 2018-11-12
1659890317 Cidnee Potter Doula 2915 Ne Mlk Jr Blvd, Portland, OR 97212 2017-09-14
1588194187 Ann M Staple Counselor 2905 Ne Tillamook St, Portland, OR 97212 2017-06-15
1780129502 Noelle Denise King Naturopath 2540 Ne Martin Luther King Jr Blvd Femelle Integrative, Suite A, Portland, OR 97212 2017-01-03
1285085100 Jessica Battin Massage Therapist 2310 Ne 8th Ave #2, Portland, OR 97212 2016-06-22
1316311830 Dr Elise Schroeder Clinic/Center 3531 Ne 15th Ave Suite A, Portland, OR 97212 2015-11-20
1467820738 Ayanna Askari Counselor 3655 N E Grand Ave, Portland, OR 97212 2015-09-03
1053797167 Iliana Henriquez Social Worker 3500 Ne Martin Luther King Blvd Suite 200, Portland, OR 97212 2015-07-31
1417346834 Emily Mcdonough Comerford Case Manager/Care Coordinator 1823 Ne 8th Avenue, Kinship House, Portland, OR 97212 2015-01-22
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528413754 Bay Area Radiology, PC Radiology 2823 Ne 55th Ave, Portland, OR 97213-3439 2016-04-25
1790171585 Dianna Howard Radiology 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 2015-04-08
1245674506 Jaryd Yee Radiology Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 2013-04-17
1700175874 Ramsey Al-hakim Radiology 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 2011-03-29
1386961712 Yama Kharoti Radiology 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 2010-04-25
1639313273 David Pettersson Radiology Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 2009-04-27
1629276191 Joe Mun-jung Chan Radiology 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 2007-07-06
1194846345 Jay H Donohoo Radiology 01641 Sw Comus St, Portland, OR 97219-7858 2007-04-03
1851458046 Summit Radiology Inc Radiology 1243 Sw Texas St, Portland, OR 97219-2046 2007-01-03
1376600064 Jeffrey Terrance Hal Radiology 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 2007-01-02
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Competitor

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City PORTLAND
Zip Code 97212

Improve Information

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Dataset Information

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.

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