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MR. RUSSELL TODD HUFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, ARNP

Contact information

Practice address
1601 E 4TH PLAIN BLVD, BLDG 17 STE B222, VANCOUVER, WA 98661-3753
(360) 397-8484
(360) 397-8494
Mailing address
2485 12TH ST SE, SALEM, OR 97302-2151
(503) 363-8047
(503) 363-6571

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
201606694NP-PP
OR

Other

Enumeration date
07/20/2015
Last updated
05/22/2019
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