Russo, Jessica

Russo, Jessica is an sole proprietor health care provider with primary practice located at 425 Sherman Ct , Hood River OR 97031-1054. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Russo, Jessica can be contacted via phone (541) 386-2620.

Contact Information

Primary practice address
425 Sherman Ct Hood River OR 97031-1054
Fax: (541) 386-9540
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1891035333
LBN Legal business name Russo, Jessica
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2013
Last updated Jan 5th, 2016 - about 10 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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