| Russell Counseling, Llc | |
|
1942 Nw Kearney St Ste 32 Portland OR 97209-1426 | |
| (503) 683-2341 | |
| (503) 914-1791 |
| Full Name | Russell Counseling, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1942 Nw Kearney St Ste 32, Portland, Oregon |
| Authorized Official Name and Position | Michael Lawrence Cady Russell (OWNER/PRACTITINER) |
| Authorized Official Contact | 5036793798 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Russell Counseling, Llc 2822 Se Salmon St Portland OR 97214-4136 Ph: (503) 679-3798 | Russell Counseling, Llc 1942 Nw Kearney St Ste 32 Portland OR 97209-1426 Ph: (503) 683-2341 |
| NPI Number | 1407326234 |
|---|---|
| Provider Enumeration Date | 12/05/2018 |
| Last Update Date | 03/16/2022 |
| Certification Date | 03/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407326234 | NPI | - | NPPES |
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