Bethany Russotto, PA-C is a medical physician assistant in Portland, OR with 4 years of experience. Bethany Russotto, PA-C NPI is 1447891353. The provider is registered as an individual entity type and is a single specialty group.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
3181 SW SAM JACKSON PARK RD # PPV05
PORTLAND, OR
ZIP 97239-098
Phone: (714) 449-7400
The NPI 1447891353 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 10/2/2019 and was last updated on 1/18/2022.