JOHN MICHAEL RUSSELL PMHNP
NPI 1801804935
Nurse Practitioner - Psychiatric/Mental Health in Portland, OR

Active since August 04, 2006
12732 SE STARK ST, PORTLAND, OR 97233(503) 514-1264 Get Directions Write a Review

NPPES record last updated: July 26, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About John Michael Russell Pmhnp NPPES

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

JOHN MICHAEL RUSSELL PMHNP (NPI 1801804935) is an individual psychiatric/mental health provider in Portland, Oregon and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1801804935
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameJOHN MICHAEL RUSSELLCredential: PMHNP
Location Address12732 SE STARK STPortland, OR 97233-1539
Mailing Address12732 Se Stark StPortland, OR 97233-1539
Sole ProprietorYes
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 26, 2007
NPI 1801804935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
12732 SE STARK ST, Portland, OR 97233

Other Names 1

Professional Name (2)Jack Russell Pmhnp

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
12732 SE STARK ST, PLAZA 125, BUILDING G
PORTLAND, OR 97233
Acupuncturist
12732 SE STARK ST, PLAZA 125 BUILDING G
PORTLAND, OR 97233

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 John Russell's NPI number?

The NPI number for John Russell is 1801804935. It was assigned to this individual provider in the NPPES registry on August 4, 2006. The provider is also known as Jack Russell Pmhnp.

Where is John Russell located?

John Russell practices at 12732 SE Stark St, Portland, OR 97233. The listed phone number is (503) 514-1264.

What is John Russell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for John Russell was last updated on July 26, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.