Individual provider · Type 1 NPI

Joseph Taylor Russell, PWS, CRM, CADC-R

Peer Specialist · Portland, OR

NPI number 1447147657 Active

Practice location

80 SE Madison St Ste 210
Portland, OR 97214-4527

Call (971) 373-8170 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 1447147657

Joseph Taylor Russell, PWS, CRM, CADC-R's National Provider Identifier is 1447147657, issued on Jun 20, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 20, 2025.