Individual provider · Type 1 NPI

Debra Lynn Russell

Peer Specialist · Portland, OR

NPI number 1760658462 Active

Practice location

1507 NE 122nd Ave
Portland, OR 97230

Call (971) 806-1436 Map

Other practice locations

  • 11035 NE Sandy Blvd, Portland, OR 97220-2553 · (503) 258-4200

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Peer Specialist Primary 175T00000X0000311 (OR)

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 1760658462

Debra Lynn Russell's National Provider Identifier is 1760658462, issued on May 2, 2008. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portland, OR. The record was last updated on Jun 11, 2018.