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

Cory L Russell, DO

Individual provider Family Medicine Physician · NPI 1790748028

Cory L Russell, DO is a Family Practice in Roseburg, Oregon. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1996, 30 years ago. Practices with Centennial Medical Group East LLC, a 63-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
30
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
OR
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

2570 NW Edenbower Blvd Ste 100
Roseburg, OR 97471
Phone: (541) 957-1111
Fax: (541) 229-3335
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence DO169293 (OR)

Record details

NPI number1790748028
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2006
Last updated in NPPESJune 24, 2015
Mailing address2570 Nw Edenbower Blvd., Ste 100, Roseburg, OR 97471

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1996 (30 years in practice)
Group practice Centennial Medical Group East Llc — 63 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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