MRS. DEBRA LYNN RUSSELL
NPI 1760658462
Peer Specialist in Portland, OR

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since May 02, 2008

1507 NE 122ND AVE, PORTLAND, OR 97230(971) 806-1436 Get Directions Write a Review

NPPES record last updated: June 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 11, 2018, Jan 31, 2017 (2 updates tracked since 2017).

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About Mrs. Debra Lynn Russell NPPES

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

MRS. DEBRA LYNN RUSSELL (NPI 1760658462) is an individual peer specialist in Portland, Oregon, licensed in Oregon (0000311) and active in the NPI registry since May 2008. She maintains a secondary practice location in Portland.

NPPES Registry Identity

NPI1760658462

Entity TypeIndividualFemale

Primary Taxonomy175T00000X

Provider Legal NameMRS. DEBRA LYNN RUSSELL

Location Address1507 NE 122ND AVEPortland, OR 97230

Mailing Address1507 Ne 122nd AvePortland, OR 97230-1911 · (971) 806-1436 · Fax (503) 230-8884

Phone(971) 806-1436

Sole ProprietorNo

Enumeration DateMay 2, 2008

Last NPPES UpdateJune 11, 20182 updates tracked since enumeration

✔ NPI 1760658462 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OR · 0000311

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.

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1507 NE 122ND AVE, Portland, OR 97230

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