Russell, Debra Lynn

Russell, Debra Lynn is an individual health care provider with primary practice located at 1507 Ne 122Nd Ave , Portland OR 97230. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Russell, Debra Lynn can be contacted via phone (971) 806-1436.

Contact Information

Primary practice address
1507 Ne 122Nd Ave Portland OR 97230
Phone: (971) 806-1436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X 0000311 Oregon

Profile Details

NPI number 1760658462
LBN Legal business name Russell, Debra Lynn
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2008
Last updated Jun 11th, 2018 - about 7 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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