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RUSS PULLIAM
NPI 1114447695
Peer Specialist in Grants Pass, OR

Active since June 26, 2017
1215 SW G ST, GRANTS PASS, OR 97526(541) 476-2373 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Jul 21, 2022, Jun 26, 2017 (2 updates tracked since 2017).

About Russ Pulliam NPPES

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

RUSS PULLIAM (NPI 1114447695) is an individual peer specialist in Grants Pass, Oregon and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1114447695
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameRUSS PULLIAM
Location Address1215 SW G STGrants Pass, OR 97526-2544
Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373
Phone(541) 476-2373
Sole ProprietorNo
Enumeration DateJune 26, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1114447695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
1215 SW G ST, Grants Pass, OR 97526
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Other Names 1

Other Name (5)Francis Russell Pulliam

Other Providers at the Same Location NPPES 20

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

MS. LISA JEAN MEREDITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
SAMANTHA TEVIS
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JORGE ROMERO
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
JOANNE E LITTLE
Registered Nurse
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. STACY LYNN BANCROFT LCSW
Social Worker (Clinical)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. MAUREEN MARGARET MAHONEY LPC
Counselor (Professional)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
LETTY SMITH
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373
MS. LISA MICHELE CAMERON
Counselor (Mental Health)
1215 SW G ST
GRANTS PASS, OR 97526
Josephine County (541) 476-2373

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 Russ Pulliam's NPI number?

The NPI number for Russ Pulliam is 1114447695. It was assigned to this individual provider in the NPPES registry on June 26, 2017. The provider is also known as Francis Russell Pulliam.

Where is Russ Pulliam located?

Russ Pulliam practices at 1215 SW G St, Grants Pass, OR 97526. The listed phone number is (541) 476-2373.

What is Russ Pulliam'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 Russ Pulliam 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.