Grant Russ
Grant Russ is a Mental Health Counselor in Milwaukie, Oregon. Registered with an NPI since 2016.
- In the registry since
- 2016
Practice location Address checks out
13850 SE Autumn Ridge TerMilwaukie, OR 97267-2150
Phone: (503) 974-9250
Fax: (503) 974-9586
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1528427937 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 12, 2016 |
| Last updated in NPPES | March 23, 2020 |
| Mailing address | 3587 Heathrow Way, Medford, OR 97504-4004 |
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