John Michael Russell, PMHNP - Nurse Practitioner in Portland, OR

John Michael Russell, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Portland, Oregon. John Michael Russell is licensed to practice in Oregon (license number ) and his current practice location is 12732 Se Stark St, Portland, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 514-1264.

NPI number for John Michael Russell is 1801804935 and his current mailing address is 12732 Se Stark St, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801804935.

Contact Information

John Michael Russell, PMHNP
12732 Se Stark St,
Portland, OR 97233-1539
(503) 514-1264
Not Available

Map and Direction




Provider's Profile

Full NameJohn Michael Russell
GenderMale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12732 Se Stark St, Portland, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801804935
  • Provider Enumeration Date: 08/04/2006
  • Last Update Date: 07/26/2007

Medical Identifiers

Medical identifiers for John Michael Russell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801804935NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Michael Russell is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
John Michael Russell, PMHNP
12732 Se Stark St,
Portland, OR 97233-1539

Ph: () -
John Michael Russell, PMHNP
12732 Se Stark St,
Portland, OR 97233-1539

Ph: (503) 514-1264

Reviews and Comments


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