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

Brett Russell, QMHAII, CADCII

Individual provider Case Manager/Care Coordinator · NPI 1720768393

Brett Russell, QMHAII, CADCII is a Case Manager/Care Coordinator in Medford, Oregon. Licensed in Oregon. Registered with an NPI since 2023.

Licensed in
OR
In the registry since
2023
Specialties on file
2

Practice location Address checks out

140 S Holly St
Medford, OR 97501-3113
Phone: (541) 774-3851
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X · Licence NO.23-QMHA-II-000082 (OR)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 22-R-09 (OR)

Record details

NPI number1720768393
Entity typeIndividual (Type 1)
GenderMale
Credentials QMHAII , CADCII
Sole proprietorNo
NPI enumeratedJuly 19, 2023
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026

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