Individual
KIMBERLY ANN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
617 NE DAVIS ST, MCMINNVILLE, OR 97128-4716
(503) 472-4020
Mailing address
1312 WESTBROOK DR NW, SALEM, OR 97304-2955
(503) 510-3768
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50067381
—
OR
Enumeration date
04/07/2007
Last updated
12/03/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us