person
John Michael Russell, PMHNP
Psychiatric/Mental Health Nurse Practitioner in Portland, Oregon
NPI 1801804935

John Michael Russell is a Psychiatric/Mental Health Nurse Practitioner based in Portland, OR and is specialized in Psychiatric/Mental Health. John Michael Russell practices in Portland, OR and has the professional credentials of PMHNP. The NPI Number for John Michael Russell is 1801804935 and holds a License No. (Oregon).

The current practice location address for John Michael Russell is 12732 Se Stark St, Portland, OR and can be reached out via phone at 503-514-1264.

Location: 12732 Se Stark St, Portland, OR, 97233-1539
person
Provider Profile Details
NPI Number
1801804935
Provider Name
John Michael Russell
Credential
PMHNP
Provider Entity Type
Individual
Gender
Male
Address
12732 Se Stark St, Portland, OR, 97233-1539
Phone Number
503-514-1264
Fax Number
Provider Enumeration Date
08/04/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12732 Se Stark St
City
State
Zip
97233-1539
Phone Number
503-514-1264
Fax Number
person
Provider Business Mailing Address Details
Address
12732 Se Stark St
City
State
Zip
97233-1539
Phone Number
503-514-1264
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
(Oregon)
Definition
Definition to come...
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