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Samantha Russo, CRM
Peer Specialist in Prineville, Oregon
NPI 1578273066

Samantha Russo is a Peer Specialist based in Prineville, OR. Samantha Russo practices in Prineville, OR and has the professional credentials of CRM. The NPI Number for Samantha Russo is 1578273066 and holds a License No. (Oregon).

The current practice location address for Samantha Russo is 466 Nw 3Rd St, Prineville, OR and can be reached out via phone at 541-388-8459.

Location: 466 Nw 3Rd St, Prineville, OR, 97754-1482
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578273066
Provider Name
Samantha Russo
Credential
CRM
Provider Entity Type
Individual
Gender
Female
Address
466 Nw 3Rd St, Prineville, OR, 97754-1482
Phone Number
541-388-8459
Fax Number
Provider Enumeration Date
11/25/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
466 Nw 3Rd St
City
Prineville
State
Oregon
Zip
97754
Phone Number
541-388-8459
Fax Number
person
Provider Business Mailing Address Details
Address
466 Nw 3Rd St
City
Prineville
State
Oregon
Zip
97754
Phone Number
541-388-8459
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
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.
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