Individual provider · Type 1 NPI
Jennifer Russell, DVM
Veterinarian · Washougal, WA
NPI number
1164850137
Active
Practice location
3501 Evergreen Way
Washougal, WA 98671-9142
Fax (360) 835-2186
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Veterinarian Primary | 174M00000X | VT60410284 (WA) |
| Veterinarian | 174M00000X | 5806 (OR) |
Veterinarian: A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery.
About NPI 1164850137
Jennifer Russell, DVM's National Provider Identifier is 1164850137, issued on Oct 29, 2013. The primary taxonomy on file is Veterinarian (174M00000X), and the practice location is in Washougal, WA. The record was last updated on Oct 29, 2013.