Individual provider · Type 1 NPI
Andrea Russo, CRM
Peer Specialist · Portland, OR
NPI number
1093244303
Active
Practice location
5257 NE Martin Luther King Jr Ste 201
Portland, OR 97211-3283
Fax (503) 430-5403
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | 17-CRM-099 (OR) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Another provider at this address
Other peer specialist providers in Portland
- Ryan Otto Macheras, CRMPeer Specialist Portland, OR NPI 1003284738
- Celia Estelle Paglin Luce, P.S.SPeer Specialist Portland, OR NPI 1003368267
- Christopher A. PhillipsPeer Specialist Portland, OR NPI 1003564741
- Ashley BardalesPeer Specialist Portland, OR NPI 1003590480
- Dustin LeuPeer Specialist Portland, OR NPI 1003605650
- Elizabeth TatePeer Specialist Portland, OR NPI 1003626672
- Alana Flynn, CRMPeer Specialist Portland, OR NPI 1003629155
- Julia Darlene Porras, CRM II, PWS, PSSPeer Specialist Portland, OR NPI 1003653247
About NPI 1093244303
Andrea Russo, CRM's National Provider Identifier is 1093244303, issued on Jun 8, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jul 21, 2022.