Cady Russell, Michael Lawrence

Cady Russell, Michael Lawrence is an sole proprietor health care provider with primary practice located at 1942 Nw Kearney St Suite 32, Portland OR 97209-1426. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Cady Russell, Michael Lawrence can be contacted via phone (503) 683-2341.

Contact Information

Primary practice address
1942 Nw Kearney St Suite 32 Portland OR 97209-1426
Phone: (503) 683-2341
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X R2739 Oregon
Behavioral Health & Social Service Providers / School 101YS0200X 143715 Oregon
Behavioral Health & Social Service Providers / Professional 101YP2500X C4675 Oregon

Profile Details

NPI number 1437554581
LBN Legal business name Cady Russell, Michael Lawrence
Credentials MS, NCC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 31st, 2014
Last updated Mar 16th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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