Provider Demographics
NPI:1881221919
Name:RUSS, BRITTANY M (MSW,CSWA)
Entity type:Individual
Prefix:
First Name:BRITTANY
Middle Name:M
Last Name:RUSS
Suffix:
Gender:F
Credentials:MSW,CSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1827 NE 44TH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-1468
Mailing Address - Country:US
Mailing Address - Phone:503-320-7136
Mailing Address - Fax:971-206-6624
Practice Address - Street 1:1827 NE 44TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1468
Practice Address - Country:US
Practice Address - Phone:503-320-7136
Practice Address - Fax:971-206-6624
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-26
Last Update Date:2024-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health