Russel Donnan Smith, MD - Radiology 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 NameRussel Donnan Smith
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location3567 Ne Tillamook St, Portland, Oregon
Accepts Medicare AssignmentsDoes 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.
IdentifierTypeStateIssuer
1962488585NPI-NPPES
00861014MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - 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 AddressPractice 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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