| Julie Russell Family Counseling, Llc | |
|
11740 Sw Warner Ave Tigard OR 97223-8459 | |
| (503) 312-9163 | |
| (503) 430-7207 |
| Full Name | Julie Russell Family Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11740 Sw Warner Ave, Tigard, Oregon |
| Authorized Official Name and Position | Julie Ann Russell (CLINCIAL MANAGER) |
| Authorized Official Contact | 5033129163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Russell Family Counseling, Llc 11740 Sw Warner Ave Tigard OR 97223-8459 Ph: (503) 312-9163 | Julie Russell Family Counseling, Llc 11740 Sw Warner Ave Tigard OR 97223-8459 Ph: (503) 312-9163 |
| NPI Number | 1003170507 |
|---|---|
| Provider Enumeration Date | 06/28/2012 |
| Last Update Date | 10/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003170507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | R2646, R2647 (Oregon) | Primary |
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