Samantha Russo, CRM

NPI #1578273066 in Prineville, Oregon

Provider Information

NPI Number: 1578273066
Entity Type: Individual
Name: Samantha Russo, CRM
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Credential: CRM
Enumeration Date: Nov 25, 2022
Last Updated: Nov 25, 2022

Practice Location

Address: 466 NW 3RD ST
Address 2: SUITE 104
City: Prineville
State: Oregon
ZIP Code: 97754
Phone: (541) 388-8459

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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