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Contact Information

DEBRA L RUSSELL
1507 NE 122ND AVE
PORTLAND, OR97230
 Phone: 971-806-1436
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
 

Case Manager/Care Coordinator

171M00000X
Indicates primary specialty

NPI Profile & details for DEBRA L RUSSELL · (Female)

NPI Number 1760658462
Status Active
Credentials
Entity Individual
Enumeration date 05/02/2008
Last updated 06/11/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 0000311
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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