RUSS PULLIAM

Peer Specialist

Active Individual
NPI: 1114447695

Practice Address

1215 SW G ST
Grants Pass, OR 97526

Phone: (541) 476-2373

Specialties

Specialty Code Primary License
Peer Specialist 175T00000X Yes -

Frequently Asked Questions

NPI 1114447695 is the National Provider Identifier for RUSS PULLIAM, a Peer Specialist provider located in Grants Pass, OR. This NPI was enumerated on June 26, 2017.
RUSS PULLIAM practices at 1215 SW G ST, Grants Pass, OR 97526.

Quick Facts

NPI
1114447695
Type
Individual
Enumerated
Jun 26, 2017
Last Updated
Jul 21, 2022

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