Individual
RUSSELL OUELLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
525 MAIN ST, SOUTH PORTLAND, ME 04106-5462
(207) 874-1045
(207) 767-0995
Mailing address
525 MAIN ST, SO PORTLAND, ME 04106
(207) 874-1045
(207) 767-0995
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CAC4234
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
432997799
—
ME
Enumeration date
11/13/2009
Last updated
11/13/2009
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