Russel Donnan Smith, MD in Portland, OR

Russel Donnan Smith, MD is a Radiology - Diagnostic Radiology physician based in Portland, Oregon. Russel Donnan Smith is licensed to practice in Missouri (license number 2005012199) and his current practice location is 3567 Ne Tillamook St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (773) 810-9072.

NPI number for Russel Donnan Smith is 1962488585 and his current mailing address is 3567 Ne Tillamook St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1962488585.

Contact Information

	Russel Donnan Smith, MD
	3567 Ne Tillamook St, Portland, OR 97212-5158
	(773) 810-9072
	Not Available

Map and Direction

Physician's Profile

Full Name	Russel Donnan Smith
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	3567 Ne Tillamook St, Portland, Oregon
Accepts Medicare Assignments	Does not participate in Medicare Program. He may not accept medicare assignment.

NPI Data:

NPI Number: 1962488585
Provider Enumeration Date: 12/15/2005
Last Update Date: 03/23/2015

Medical Identifiers

Medical identifiers for Russel Donnan Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962488585	NPI	-	NPPES
00861014	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	2005012199 (Missouri)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Russel Donnan Smith is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Russel Donnan Smith, MD 3567 Ne Tillamook St, Portland, OR 97212-5158 Ph: (773) 810-9072	Russel Donnan Smith, MD 3567 Ne Tillamook St, Portland, OR 97212-5158 Ph: (773) 810-9072

Reviews and Comments

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Russel Donnan Smith, MD - Radiology in Portland, OR