RUSSELL C. FREELAND, EDD, PS; NPI #1629252192

Contact Information

RUSSELL C. FREELAND, EDD, PS

650 OFFICERS ROW
VANCOUVER, WA 98661-3836

Phone: 360-695-3012
Fax: 360-574-6979
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cognitive & Behavioral	103TB0200X	62	Psychologist, Clinical

Indicates primary specialty

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NPI Profile & details for RUSSELL C. FREELAND, EDD, PS

NPI # 1629252192

LBN Legal business name RUSSELL C. FREELAND, EDD, PS

Authorized official RUSSELL FREELAND - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 12/19/2007

Last updated 12/19/2007 - About 18 years ago

Identifiers

License #

573

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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