Individual provider · Type 1 NPI
John Michael Russell, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Portland, OR
NPI number
1801804935
Active
Practice location
12732 SE Stark St
Portland, OR 97233-1539
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1801804935
John Michael Russell, PMHNP's National Provider Identifier is 1801804935, issued on Aug 4, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Jul 26, 2007.