Harrison Russell
Community Health Worker in San Francisco, CA. Individual provider (NPI-1).
NPI number1114439874
StatusActive
Last updated in NPPESNov 8, 2017
Details
- NPI
- 1114439874
- Entity type
- Individual (NPI-1)
- Name
- Harrison Russell
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 2, 2017
- Last updated
- Nov 8, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Other names
- Jeff Russell (Other Name)
Practice location
1563 Mission StSan Francisco, CA 94103-2543
Phone 415-738-7305 · Fax 415-554-0159
Mailing address
1563 Mission StSan Francisco, CA 94103-2543
Phone 415-738-7305 · Fax 415-554-0159
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 1,679 Community Health Worker providers in San Francisco · All 43,681 providers in San Francisco
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