Russell, Brett
Russell, Brett is an sole proprietor health care provider with primary practice located at 140 S Holly St , Medford OR 97501-3113. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Russell, Brett can be contacted via phone (541) 774-3851.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X | NO.23-QMHA-II-000082 | Oregon |
Profile Details
| NPI number | 1720768393 |
|---|---|
| LBN Legal business name | Russell, Brett |
| Credentials | QMHA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2023 |
| Last updated | Jul 19th, 2023 - about 2 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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