IndividualActive
Adam Russell
NPI 1932404092 · Community Health Worker · Canadian, OK
Provider details
- NPI number
- 1932404092
- Entity type
- Individual
- Primary specialty
- Community Health WorkerOther Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Practice location
Hc 67 Box 5
Canadian, OK 74425-9700
Phone: (918) 339-5800
Approximate (ZIP-level) locationGet directions
Mailing address
Hc 67 Box 5
Canadian, OK 74425-9700
Registry dates
- Enumerated
- 2011-01-21
- Last updated
- 2011-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.