Individual provider · Type 1 NPI

Scarlett Russell, RN/QMHP-R

Case Management Registered Nurse · Portland, OR

NPI number 1972396430 Active

Practice location

1438 SE Division St
Portland, OR 97202-1140

Fax (503) 232-5959

Mailing address

211 SE Caruthers St
Portland, OR 97214-4502

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X25-QMP-R-3611 (OR)
Registered Nurse 163W00000X10041531 (OR)
Case Management Registered Nurse Primary 163WC0400X10041531 (OR)

Case Management Registered Nurse: Definition to come...

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About NPI 1972396430

Scarlett Russell, RN/QMHP-R's National Provider Identifier is 1972396430, issued on May 27, 2025. The primary taxonomy on file is Case Management Registered Nurse (163WC0400X), and the practice location is in Portland, OR. The record was last updated on Jul 2, 2025.