Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Christopher R Russell, PA-C

Individual provider Medical Physician Assistant · NPI 1003864927

Christopher R Russell, PA-C is a Physician Assistant in Bend, Oregon. Qualified in 2005, 21 years ago. Practices with Mosaic Community Health, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Hawaii and Oregon.

Years since qualifying
21
Licensed in
HI, OR
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2065 NE Tucson Way Apt 110
Bend, OR 97701-5182
Phone: (541) 383-3005
Fax: (541) 383-1883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 75-5751 Kuakini Hwy Ste 101a, Kailua Kona, HI 96740-1705 — (808) 326-5629

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA01083 (OR)
Medical Physician Assistant Taxonomy 363AM0700X · Licence AMD-445 (HI)

Record details

NPI number1003864927
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESJanuary 24, 2023
Certification dateJanuary 24, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Mosaic Community Health — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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