Debra Lynn Russell in Portland - Peer Specialist
Debra Lynn Russell - NPI 1760658462
Debra Lynn Russell is a Peer Specialist in Portland, Oregon. Debra Lynn Russell practices all healthcare services and medical treatments related to Peer Specialist. The NPI Number for Debra Lynn Russell is 1760658462. The last update date is 2018-06-11.
Debra Lynn Russell's current location address is 1507 Ne 122nd Ave, Portland, Oregon. You can contact this provider via phone number 9718061436 and fax number 5032308884. The mailing address for Debra Lynn Russell is 1507 Ne 122nd Ave, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Debra Lynn Russell |
|---|---|
| Address | 1507 Ne 122nd Ave, Portland, Oregon |
| Phone Number | 9718061436 |
| Fax Number | 5032308884 |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1760658462 |
|---|---|
| Provider Enumeration Date | 2008-05-02 |
| Last Updated Date | 2018-06-11 |
Provider Mailing Address Detail
| Address | 1507 Ne 122nd Ave |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972301911 |
| Phone Number | 9718061436 |
| Fax Number | 5032308884 |
Provider's Primary Taxonomy Detail
| Speciality | Peer Specialist |
|---|---|
| Taxonomy | 175T00000X |
| Licence No | 311 |
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Definition: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
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What is the unique identifier code issued to Debra Lynn Russell by the Centers for Medicare & Medicaid Services?
The Debra Lynn Russell has been assigned the NPI (National Provider Identifier) 1760658462. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Debra Lynn Russell located?
The Debra Lynn Russell is located at 1507 Ne 122Nd Ave, Portland, OR 972301911.
What is the area of specialization for Debra Lynn Russell, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Debra Lynn Russell is Peer Specialist, and the corresponding taxonomy code that categorizes this area of expertise is 175T00000X.
When did Debra Lynn Russell receive its 1760658462 assignment?
The Debra Lynn Russell was assigned its 1760658462 on 2008-05-02, which is the date when this unique identifier was issued to the organization.
When was the information regarding Debra Lynn Russell most recently updated?
The details pertaining to the Debra Lynn Russell, including its address, specialty, and other relevant information, were last refreshed on 2018-06-11.
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