Individual
KELLY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3415 SE POWELL BLVD TRILLIUM FAMILY SERVICES, PORTLAND, OR 97202
(503) 729-7131
Mailing address
3415 SE POWELL BLVD TRILLIUM FAMILY SERVICES, PORTLAND, OR 97202
(503) 729-7131
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
OR
106H00000X
Marriage & Family Therapist
Primary
—
OR
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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