JESSE D. RUSSELL PA-C – NPI #1659040590
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

JESSE RUSSELL is a physician located in CANBY, OR. NPPES has assigned the NPI number 1659040590 to JESSE RUSSELL on September 13, 2021. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was last updated on Oct 21, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JESSE RUSSELL below.

NPI Profile for
JESSE D. RUSSELL

NPI Number
1659040590
Enumeration Date

(more than 4 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JESSE D. RUSSELL
Credentials
PA-C
Primary location
345 N GRANT ST
CANBY, OR 97013-3689
Phone: (503) 266-2066 Fax:
1 Other location(s):
1185 S Elm St
Canby, OR 97013-3935
Phone: (503) 723-4660
Fax: (503) 266-6649
Mailing address
PO BOX 35380
LAS VEGAS, NV 89133-5380
Phone: (702) 579-3203 Fax: (702) 838-1456
Sole Proprietor
No
Updated
Certification Date
Oct 21, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OR PA203927
363A00000X
- Physician Assistant		 OR

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JESSE RUSSELL is affiliated with the following medical group(s):
  • HOSPITAL
    • LEGACY MERIDIAN PARK MEDICAL CENTER
      19300 SW 65TH AVENUE
      TUALATIN, OR 97062
    • PROVIDENCE WILLAMETTE FALLS MEDICAL CENTER
      1500 DIVISION STREET
      OREGON CITY, OR 97045

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At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.