Individual provider · Type 1 NPI

Jesse David Winslow Russell, PA-C

Physician Assistant · Canby, OR

NPI number 1659040590 Active

Practice location

1185 S Elm St
Canby, OR 97013-3935

Call (503) 723-4660 Map

Fax (503) 266-6649

Mailing address

PO Box 1517
Pendleton, OR 97801-0410

Other practice locations

  • 345 N Grant St, Canby, OR 97013-3689 · (503) 266-2066

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA203927 (OR)
Family Medicine Physician 207Q00000XPA203927 (OR)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1659040590

Jesse David Winslow Russell, PA-C's National Provider Identifier is 1659040590, issued on Sep 13, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Canby, OR. The record was last updated on Jul 23, 2026.