RUSSELL SHELDON MCMILLEN III
NPI 1356816508
Peer Specialist in Mcminnville, OR

Active since October 03, 2018
627 NE EVANS ST, MCMINNVILLE, OR 97128(503) 434-7527 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Peer Specialist

About RUSSELL MCMILLEN

This page provides the complete NPI Profile along with additional information for Russell Mcmillen, a provider established in Mcminnville, Oregon with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1356816508 assigned on October 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI
1356816508 Verify this NPI
Provider Name
RUSSELL SHELDON MCMILLEN III
Gender
Male
Entity Type
Individual
Location Address
627 NE EVANS ST MCMINNVILLE, OR 97128
Location Phone
(503) 434-7527
Mailing Address
213 NE 10TH ST MCMINNVILLE, OR 97128
Is Sole Proprietor?
Yes
Enumeration Date
10-03-2018
Last Update Date
10-03-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Peer Specialist

Taxonomy Code
175T00000X
Type
Other Service Providers
Taxonomy Description
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.

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Occupational Therapist
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Social Worker (Clinical)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Social Worker (Clinical)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Social Worker (Clinical)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Social Worker
627 NE EVANS ST
MCMINNVILLE, OR 97128
Registered Nurse
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Mental Health)
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Addiction (Substance Use Disorder))
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Addiction (Substance Use Disorder))
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Addiction (Substance Use Disorder))
627 NE EVANS ST
MCMINNVILLE, OR 97128
Counselor (Addiction (Substance Use Disorder))
627 NE EVANS ST
MCMINNVILLE, OR 97128

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1356816508, enumerated as an "individual" on October 03, 2018.

The provider is located at 627 NE EVANS ST MCMINNVILLE, OR 97128 and the phone number is (503) 434-7527.

Peer Specialist with taxonomy code 175T00000X.