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

Individual provider Optometrist · NPI 1558576546

Dr. Jonathan Russell, OD is an Optometry in Clackamas, Oregon. Graduated from Pacific University - College of Optometry in 2001, 25 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
25
Trained at
Pacific University - College of Optometry
Licensed in
OR
In the registry since
2007
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

12100 SE Stevens Ct Ste 106
Clackamas, OR 97086-4707
Phone: (503) 353-7300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence 2838T (OR)

Record details

NPI number1558576546
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedMay 11, 2007
Last updated in NPPESAugust 19, 2015
Mailing address4435 Se 43rd Ave, Portland, OR 97206-4003

Medicare enrollment

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

Medicare specialtyOPTOMETRY
Medical schoolPACIFIC UNIVERSITY - COLLEGE OF OPTOMETRY
Graduated 2001 (25 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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