JOHN MICHAEL RUSSELL PMHNP NPI 1801804935

NPI Information

NPI: 1801804935
Provider Name: JOHN MICHAEL RUSSELL, PMHNP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Address:
12732 SE STARK ST
PORTLAND, OR
ZIP 97233
Phone: (503) 514-1264
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John Michael Russell, PMHNP is a psychiatric/mental health nurse practitioner in Portland, OR. John Michael Russell, PMHNP NPI is 1801804935. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12732 SE STARK ST
PORTLAND, OR
ZIP 97233-539
Phone: (503) 514-1264

The enumeration date for this NPI number is 8/4/2006 and was last updated on 7/26/2007.

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
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health		OREGON	Yes

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: 4/28/2024

NPI Synchronization or Removal

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