BRETT RUSSELL

MEDFORD, OR
NPI1720768393
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: OR  No.23-QMHA-II-000082)
Enumeration Date2023-07-19
Last Update Date2023-07-19
Business Address
BRETT RUSSELL QMHA
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number: 541-774-3851
Mailing Address
BRETT RUSSELL QMHA
140 S HOLLY ST
MEDFORD, OR 97501-3113
Phone number:
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