SAMANTHA RUSSO CRM NPI 1578273066

NPI Information

NPI: 1578273066
Provider Name: SAMANTHA RUSSO, CRM
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
466 NW 3RD ST
SUITE 104
PRINEVILLE, OR
ZIP 97754
Phone: (541) 388-8459
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Samantha Russo, CRM is a peer specialist in Prineville, OR. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Samantha Russo, CRM NPI is 1578273066. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

466 NW 3RD ST
SUITE 104
PRINEVILLE, OR
ZIP 97754
Phone: (541) 388-8459

The enumeration date for this NPI number is 11/25/2022 and was last updated on 11/25/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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