Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Mr. Jonathan Forrest Russell, PA

Physician Assistant in Winston, OR · enumerated 2007 · practices at Oregon Community Dental Care.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1396934196

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Registry record

Entity type Individual (Type 1)

Name Mr. Jonathan Forrest Russell

Credential PA

Sex Male

Practice address 671 Sw Main St, Winston, OR, 97496

Phone (541) 492-4550

Fax (541) 679-2005

Enumeration date Oct 17, 2007

Last updated in NPPES Mar 5, 2025

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 161337 (OR) Primary

PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier	Type	State	Issuer
ZFQ31815	Other	-	MEDICARE
03-1820	Other	-	MEDICARE
ZFQ31820	Other	-	MEDICARE
Z139132	Other	-	MEDICARE
03-1815	Other	-	MEDICARE
364775	Medicaid	AZ	-
Z132429	Other	-	MEDICARE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jonathan Russell's NPI record?

Cross-check NPI 1396934196 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1396934196 active?

Yes, as of the latest NPPES snapshot, NPI 1396934196 is active (record last updated 2025-03-05).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-03-05.