Individual provider · Type 1 NPI

Ben Russell

Peer Specialist · Portland, OR

NPI number 1174340525 Active

Practice location

80 SE Madison St
Portland, OR 97214-4527

Call (916) 584-5821 Map

Mailing address

620 SE 146th Ave
Portland, OR 97233-2507

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X24-CRM-3712 (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.

3 other providers at this address

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About NPI 1174340525

Ben Russell's National Provider Identifier is 1174340525, issued on Sep 25, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2024.