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

Individual provider Health Maintenance Organization · NPI 1881056109

MS. Tracey Marie Russ, PTA is a Health Maintenance Organization in Salem, Oregon. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2016
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

3445 Boone Rd SE
Salem, OR 97317-9336
Phone: (503) 576-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Health Maintenance Organization (primary) Taxonomy 302R00000X · Licence 0012073 (CO)

Record details

NPI number1881056109
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedMarch 25, 2016
Last updated in NPPESMarch 25, 2016

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