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

Russell Shively

Individual provider Case Manager/Care Coordinator · NPI 1396360582

Russell Shively is a Case Manager/Care Coordinator in Eureka, California. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

720 Wood St
Eureka, CA 95501-4413
Phone: (707) 268-2990
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1396360582
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 12, 2020
Last updated in NPPESJune 12, 2020
Certification dateJune 12, 2020
Mailing addressPo Box 5231, Eureka, CA 95502-5231

Other providers in Eureka