Individual provider · Type 1 NPI

Russ Wolfe, CRM

Addiction (Substance Use Disorder) Counselor · Beaverton, OR

NPI number 1568357952 Active

Practice location

10700 SW Beaverton Hillsdale Hwy Bldg 1
Beaverton, OR 97005-3019

Mailing address

5415 SW Westgate Dr
Portland, OR 97221-2409

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X25-CRM-4470 (OR)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1568357952

Russ Wolfe, CRM's National Provider Identifier is 1568357952, issued on Jun 9, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Beaverton, OR. The record was last updated on Jun 9, 2025.