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Russell Hearing
Peer Specialist in Medford, Oregon
NPI 1962888099

Russell Hearing is a Peer Specialist based in Medford, OR. Russell Hearing practices in Medford, OR. The NPI Number for Russell Hearing is 1962888099 and holds a License No. (Oregon).

The current practice location address for Russell Hearing is 817 N Central Ave, Medford, OR and can be reached out via phone at 541-245-4673. You can also correspond with Russell Hearing through the mailing address at 615 DIAMOND ST, MEDFORD, OR - 97501-4551 (mailing address contact number: ).

Location: 817 N Central Ave, Medford, OR, 97501-4551
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962888099
Provider Name
Russell Hearing
Credential
Provider Entity Type
Individual
Gender
Male
Address
817 N Central Ave, Medford, OR, 97501-4551
Phone Number
541-245-4673
Fax Number
Provider Enumeration Date
07/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
817 N Central Ave
City
Medford
State
Oregon
Zip
97501-5840
Phone Number
541-245-4673
Fax Number
person
Provider Business Mailing Address Details
Address
817 N Central Ave
City
Medford
State
Oregon
Zip
97501-5840
Phone Number
541-245-4673
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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