1. Home
  2. Directory
  3. Oregon
  4. Portland
  5. Peer Specialist
  6. NPI Profile

ANDREA RUSSO CRM
NPI 1093244303
Peer Specialist in Portland, OR

Active since June 08, 2017
5257 NE MARTIN LUTHER KING JR STE 201, PORTLAND, OR 97211(503) 851-0059(503) 430-5403 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jun 8, 2017 (2 updates tracked since 2017).

About Andrea Russo Crm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREA RUSSO CRM (NPI 1093244303) is an individual peer specialist in Portland, Oregon, licensed in Oregon (17-CRM-099) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1093244303
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameANDREA RUSSOCredential: CRM
Location Address5257 NE MARTIN LUTHER KING JR STE 201Portland, OR 97211-3283
Mailing Address5257 Ne Martin Luther King Jr Ste 201Portland, OR 97211-3283 · (503) 851-0059 · Fax (503) 430-5403
Phone(503) 851-0059
Fax(503) 430-5403
Sole ProprietorNo
Enumeration DateJune 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1093244303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OR · 17-CRM-099
Definition
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.
5257 NE MARTIN LUTHER KING JR STE 201, Portland, OR 97211
Open in Google Maps ↗

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

REGINAL STROUGHTER CRM, CGAC1, CADC1 AP
Counselor (Addiction (Substance Use Disorder))
5257 NE MARTIN LUTHER KING JR STE 201
PORTLAND, OR 97211
Multnomah County (503) 676-3710

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrea Russo's NPI number?

The NPI number for Andrea Russo is 1093244303. It was assigned to this individual provider in the NPPES registry on June 8, 2017.

Where is Andrea Russo located?

Andrea Russo practices at 5257 NE Martin Luther King Jr Ste 201, Portland, OR 97211. The listed phone number is (503) 851-0059.

What is Andrea Russo's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Andrea Russo was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.