KELLY RUSSELL


Address: 3415 Se Powell Blvd Trillium Family Services, Portland, OR 97202
Phone: 5037297131

KELLY RUSSELL (NPI# 1326468729) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1326468729
Entity Type Individual
Full Name KELLY RUSSELL
Credential M.S.
Practice Address 3415 Se Powell Blvd Trillium Family Services
Portland
OR 97202
Practice Telephone 5037297131
Mailing Telephone 5037297131
Enumeration Date 2014-04-24
Last Update Date 2014-04-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YS0200X Counselor
Specialization: School
OR Behavioral Health & Social Service Providers
Y 106H00000X Marriage & Family Therapist OR Behavioral Health & Social Service Providers

Other Providers KELLY RUSSELL

NPI Name Taxonomy Address Enumeration
1376829838 Kelly C Russell Counselor 24 Pleasant St Rear, Newburyport, MA 01950-2610 2011-10-28
1336244763 Kelly Gravino Russell Social Worker 16 Bush Hill Rd, Ipswich, MA 01938-1642 2006-09-13
1154957652 Kelly Russell Advanced Practice Midwife 101 Dudley St, Providence, RI 02905-2401 2020-03-16
1942770409 Kelly Leonora Russell Counselor 611 12th Ave S, Seattle, WA 98144-2007 2018-11-27
1992179535 Kelly Marie Spegel Russell Psychologist 1843 Rw Berends Dr Sw, Wyoming, MI 49519-4955 2015-11-19
1346591898 Kelly Hanh Russell Physician Assistant 1375 N 10th Ave, Stayton, OR 97383 2012-09-24
1538375233 Kelly Shannon Russell Nurse Practitioner 200 N Easton, Allen, OK 74825-9713 2007-05-16
1205816923 Kelly Yvette Russell Anesthesiology 1850 N Central Ave, Ste1600, Phoenix, AZ 85004-4527 2006-01-19

Office Location

Street Address 3415 SE POWELL BLVD TRILLIUM FAMILY SERVICES
City PORTLAND
State OR
Zip Code 97202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073143442 Carewell LLC Counselor Portland River Park Center, 205 Se Spokane St Suite 358, Portland, OR 97202 2020-01-24
1588226765 Melissa Lynn Hartley Counselor 1235 Se Division St. Suite 103, Portland, OR 97202 2019-07-08
1275192999 Kimberly Rae Kilgore Counselor 5509 Se 22nd St #3a, Portland, OR 97202 2019-06-06
1639736069 Kyra Steinhauer Social Worker 3145 Se Powell Blvd, Portland, OR 97202 2019-05-21
1134644321 Bridgette Hennigsen Social Worker 3810 Se 11th Ave, Portland, OR 97202 2017-08-08
1558895789 Lenore Cangeloso Acupuncturist 1235 Se Division Street, Suie 117, Portland, OR 97202 2017-04-14
1376099093 Anna Christine Leclerc Contractor 2024 Se Clinton Street, Zenana Spa and Wellness Center, Portland, OR 97202 2016-09-01
1144684663 Catholic Charities Case Management 2740 Se Powell Blvd., Portland, OR 97202 2016-04-11
1881082097 Zoomcare Dental, P.C. Dentist 3130 Se Division Street, Building 2, Portland, OR 97202 2014-12-23
1124424700 Jessica Nash Counselor 6411 Se 17th Ave, Portland, OR 97202 2014-11-10
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669082061 Kelsey Miller Marriage & Family Therapist 5515 N Williams Ave, Portland, OR 97217-2452 2020-07-31
1255959631 Veronica Terese Valdez Marriage & Family Therapist 4445 S Barbur Blvd Ste 205, Portland, OR 97239-4047 2020-07-11
1649896630 Moving Forward Staying Present LLC Marriage & Family Therapist 8083 Se 13th Ave Ste 3, Portland, OR 97202-6668 2020-06-25
1669001723 Jennifer Melissa Moss Marriage & Family Therapist 12356 Ne Brazee St, Portland, OR 97230-1841 2020-04-02
1174153225 Amanda Fitzpatrick Marriage & Family Therapist 5410 Sw Macadam Ave Ste 250, Portland, OR 97239-3807 2020-01-16
1679114003 Craig Cardamone Individual and Relational Therapy Pllc Marriage & Family Therapist 12 Kellogg St Apt 1, Portland, ME 04101-4375 2019-10-07
1538716816 Ayala Parker Marriage & Family Therapist 3540 Sw Boundary St, Portland, OR 97221-3817 2019-08-21
1720648363 Alicia Roshelle Turgesen Marriage & Family Therapist 835 Se Stephens St Ste 202, Portland, OR 97214-4636 2019-06-17
1194281477 Shelbee Louise Leach Macomber Marriage & Family Therapist 1520 Westbrook St, Portland, ME 04102-1621 2019-02-12
1508335704 Jacqueline Marie Mular Marriage & Family Therapist 5550 Sw Macadam Suite 100, Portland, OR 97239 2018-11-16
Find all providers in PORTLAND

Competitor

Search similar providers

City PORTLAND
Zip Code 97202

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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