TAMEKIO RUSSELL
Community Based Residential Treatment Facility, Mental Illness
Active
Individual
NPI: 1538793856
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Community Based Residential Treatment Facility, Mental Illness | 320800000X | Yes | - |
Frequently Asked Questions
NPI 1538793856 is the National Provider Identifier for TAMEKIO RUSSELL, a Community Based Residential Treatment Facility, Mental Illness provider located in Gresham, OR. This NPI was enumerated on February 25, 2020.
TAMEKIO RUSSELL practices at 2072 SW SANDLEWOOD PL, Gresham, OR 97080.
Quick Facts
- NPI
- 1538793856
- Type
- Individual
- Enumerated
- Feb 25, 2020
- Last Updated
- Feb 25, 2020
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