| Julie Russell Family Couseling | |
|
11740 Sw Warner Ave Tigard OR 97223-8459 | |
| (503) 312-9163 | |
| Not Available |
| Full Name | Julie Russell Family Couseling |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 11740 Sw Warner Ave, Tigard, Oregon |
| Authorized Official Name and Position | Julie Ann Russell (OWNER/OPERATOR/COUNSELOR) |
| Authorized Official Contact | 5033129163 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Julie Russell Family Couseling 11740 Sw Warner Ave Tigard OR 97223-8459 Ph: (503) 312-9163 | Julie Russell Family Couseling 11740 Sw Warner Ave Tigard OR 97223-8459 Ph: (503) 312-9163 |
| NPI Number | 1962832758 |
|---|---|
| Provider Enumeration Date | 11/15/2013 |
| Last Update Date | 11/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962832758 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Oregon) | Primary |
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