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

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X17-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.

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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.