NPI 1003939943

Kimberly Ann Russell, BS

Practitioner Case Manager/Care Coordinator McMinnville, OR

Practice location

Address: 617 NE Davis St, McMinnville, OR 97128-4716
Phone: (503) 472-4020
Mailing address: 1312 Westbrook Dr NW, Salem, OR 97304-2955

Registered specialties (2)

Case Manager/Care Coordinator Primary

Other Service Providers Taxonomy 171M00000X

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Social Worker

Behavioral Health & Social Service Providers Taxonomy 104100000X

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Registry record

NPI: 1003939943
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Apr 2007
Record last updated: 3 Dec 2014

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.