Lori Russell, LLC
Social Worker in Springfield, OR. Organization (NPI-2).
NPI number1497326409
StatusActive
Last updated in NPPESJul 9, 2021
Details
- NPI
- 1497326409
- Entity type
- Organization (NPI-2)
- Legal business name
- Lori Russell, LLC
- Organization subpart
- No
- Enumeration date
- Jul 9, 2021
- Certification date
- Jul 9, 2021
- Last updated
- Jul 9, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
380 Q StSpringfield, OR 97477-2120
Phone 541-726-4118
Mailing address
Po Box 148Springfield, OR 97477-0171
Authorized official
Lori Ann Russell
Owner/Therapist
5417264118
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