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Individual

SCARLETT RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN/QMHP-R

Contact information

Practice address
1438 SE DIVISION ST, PORTLAND, OR 97202-1140
(503) 548-0346
(503) 232-5959
Mailing address
211 SE CARUTHERS ST, PORTLAND, OR 97214-4502
(503) 224-1044
(971) 260-0355

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
25-QMP-R-3611
OR
163W00000X
Registered Nurse
10041531
OR
163WC0400X
Case Management Registered Nurse
Primary
10041531
OR

Other

Enumeration date
05/27/2025
Last updated
07/02/2025
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