Russell, Debra

Russell, Debra is an individual health care provider with primary practice located at 1776 Sw Madison St , Portland OR 97205-1715. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Russell, Debra can be contacted via phone (503) 230-9875.

Contact Information

Primary practice address
1776 Sw Madison St Portland OR 97205-1715
Phone: (503) 230-9875
Fax: (503) 230-9877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X Oregon

Profile Details

NPI number 1376522920
LBN Legal business name Russell, Debra
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Jul 13th, 2026 - about 4 months 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376522920 NPPES
Oregon MEDICAID 126370

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