Individual provider · Type 1 NPI

Russell Wells, BS, MCR

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

NPI number 1508756701 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-8311 Map

Mailing address

650 S Gaines St Apt 601
Portland, OR 97239-4767

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 1508756701

Russell Wells, BS, MCR's National Provider Identifier is 1508756701, issued on Jul 8, 2025. 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 Jul 8, 2025.