Individual provider · Type 1 NPI

Diana Marie Russo

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1356181606 Active

Practice location

4035 NE Sandy Blvd Ste 240
Portland, OR 97212-5331

Call (971) 940-2601 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356181606

Diana Marie Russo's National Provider Identifier is 1356181606, issued on May 24, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on May 24, 2024.