ANDREA RUSSO CRM NPI 1093244303

NPI Information

  • NPI: 1093244303
  • Provider Name: ANDREA RUSSO, CRM
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 5257 NE MARTIN LUTHER KING JR STE 201
    PORTLAND, OR
    ZIP 97211
  • Phone: (503) 851-0059

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NPI Details

Andrea Russo, CRM is a peer specialist in Portland, OR. The provider is 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. Andrea Russo, CRM NPI is 1093244303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5257 NE MARTIN LUTHER KING JR STE 201
PORTLAND, OR
ZIP 97211-283
Phone: (503) 851-0059
Fax: (503) 430-5403

The enumeration date for this NPI number is 6/8/2017 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist17-CRM-099OREGONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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