Cady Russell, Michael Lawrence
Cady Russell, Michael Lawrence is an sole proprietor health care provider with primary practice located at 1942 Nw Kearney St Suite 32, Portland OR 97209-1426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cady Russell, Michael Lawrence can be contacted via phone (503) 683-2341.Contact Information
Primary practice address
1942 Nw Kearney St Suite 32
Portland OR 97209-1426
Phone: (503) 683-2341
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | R2739 | Oregon |
Behavioral Health & Social Service Providers / School | 101YS0200X | 143715 | Oregon |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | C4675 | Oregon |
Profile Details
NPI number | 1437554581 |
---|---|
LBN Legal business name | Cady Russell, Michael Lawrence |
Credentials | MS, NCC, LPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Oct 31st, 2014 |
Last updated | Mar 16th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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