Tamekio Russell
Tamekio Russell is a Mental Illness Community Based Residential Treatment Facility in Gresham, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
2072 SW Sandlewood PlGresham, OR 97080-9752
Phone: (503) 702-6560
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Illness Community Based Residential Treatment Facility (primary) | Taxonomy 320800000X |
|---|
Record details
| NPI number | 1538793856 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2020 |
| Last updated in NPPES | February 25, 2020 |
| Certification date | February 25, 2020 |
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