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

Mr. Jonathan Forrest Russell, PA

Individual provider Physician Assistant · NPI 1396934196

Mr. Jonathan Forrest Russell, PA is a Physician Assistant in Winston, Oregon. Qualified in 2007, 19 years ago. Practices with Adapt, a 43-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
19
Licensed in
OR
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

671 SW Main St
Winston, OR 97496-6571
Phone: (541) 492-4550
Fax: (541) 679-2005
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 161337 (OR)

Record details

NPI number1396934196
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 17, 2007
Last updated in NPPESMarch 5, 2025
Certification dateMarch 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Adapt — 43 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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