Individual provider · Type 1 NPI

Russ Pulliam

Peer Specialist · Grants Pass, OR

NPI number 1114447695 Active

Practice location

1215 SW G St
Grants Pass, OR 97526-2544

Call (541) 476-2373 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

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 1114447695

Russ Pulliam's National Provider Identifier is 1114447695, issued on Jun 26, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grants Pass, OR. The record was last updated on Jul 21, 2022.