NPI 1003170507

Julie Russell Family Counseling, LLC

Organisation Community/Behavioral Health Agency Tigard, OR

Practice location

Address: 11740 SW Warner Ave, Tigard, OR 97223-8459
Phone: (503) 312-9163
Fax: (503) 430-7207

Authorised official

Name: Julie Ann Russell
Title: Clincial Manager
Phone: (503) 312-9163

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X Licence R2646, R2647 (OR)

Other Community/Behavioral Health providers in Oregon →

Registry record

NPI: 1003170507
Entity type: Organization
NPI issued: 28 Jun 2012
Record last updated: 21 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.