NICOLE S RUSSELL

PORTLAND, OR
NPI1083816789
Former NameNICOLE S BROWN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
Enumeration Date2007-06-04
Last Update Date2007-07-08
Business Address
Mrs. NICOLE S RUSSELL BSW
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-813-7757
Mailing Address
Mrs. NICOLE S RUSSELL BSW
2307 NW SCHMIDT WAY APT. 12
BEAVERTON, OR 97006-4793
Phone number: 503-998-2715