Individual provider · Type 1 NPI

Russell Sheldon McMillen Iii

Peer Specialist · Mcminnville, OR

NPI number 1356816508 Active

Practice location

627 NE Evans St
Mcminnville, OR 97128-3923

Call (503) 434-7527 Map

Mailing address

213 NE 10th St
Mcminnville, OR 97128-4825

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 1356816508

Russell Sheldon McMillen Iii's National Provider Identifier is 1356816508, issued on Oct 3, 2018. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mcminnville, OR. The record was last updated on Oct 3, 2018.