Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bohdan Russum

Individual provider Adult Companion · NPI 1104771526

Bohdan Russum is an Adult Companion in Grass Valley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

500 Crown Point Cir
Grass Valley, CA 95945-9561
Phone: (415) 847-8420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Companion (primary) Taxonomy 372600000X (CA)

Record details

NPI number1104771526
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 2, 2026
Mailing address10560 Kearney Ct, Smartsville, CA 95977-9556

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