MRS. TAMMY LEE RUSSELL (NPI# 1073701058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073701058 |
| Entity Type | Individual |
| Full Name | MRS. TAMMY LEE RUSSELL |
| Credential | RDN |
| Practice Address |
1820 Sw Vermont St Ste F Portland OR 97219-1945 |
| Practice Telephone | 5033136778 |
| Mailing Telephone | 5033136778 |
| Enumeration Date | 2007-10-04 |
| Last Update Date | 2019-10-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 833 | OR | Dietary & Nutritional Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 163 Ne 102nd Ave Bldg 5, Portland, OR 972204169 | 5032573326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770835811 | Tammy Mason Russell | Social Worker | 835 Sheffield St, Hampton, VA 23666-1981 | 2012-10-14 |
| 1831409994 | Tammy Russell | Licensed Practical Nurse | 527 Old Stage Rd, Saugerties, NY 12477-4450 | 2010-10-07 |
| 1790283455 | Tammy Russell | Technician | 4550 W Oakey Blvd, Las Vegas, NV 89102-1581 | 2018-01-29 |
| 1093104671 | Tammy Russell | Counselor | 3461 Burlington Ave N, St Petersburg, FL 33713-8548 | 2015-01-20 |
| Street Address |
1820 SW VERMONT ST STE F |
| City | PORTLAND |
| State | OR |
| Zip Code | 97219-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134248693 | Laura P German-mccorkle | Massage Therapist | 1820 Sw Vermont St Ste F, Portland, OR 97219-1945 | 2007-03-28 |
| 1063921187 | Ipa Physio Portland LLC | Clinic/Center | 1820 Sw Vermont St Ste F, Portland, OR 97219-1945 | 2017-09-20 |
| 1790050888 | Sarah J Watson | Massage Therapist | 1820 Sw Vermont St Ste F, Portland, OR 97219-1945 | 2012-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356958672 | Lighthouse Psychological Services, LLC | Psychologist | 630 Sw Nevada St, Ste. E, Poralnd, OR 97219 | 2020-09-30 |
| 1083130991 | Tawayne Nolen Malone Jr. | Psychologist | 0615 Sw Palatine Hill Road, Tawayne Malone - Msc 2159, Portland, OR 97219 | 2017-08-22 |
| 1548667918 | Eleven Eleven, LLC | Specialist/Technologist, Other | 6714 Sw 62nd Place, Portland, OR 97219 | 2014-12-01 |
| 1023414257 | Paul Shayne Hansen | Adult Companion | 9155 Sw 55th Avenue, Portland, OR 97219 | 2014-11-17 |
| 1154721850 | Mikhail Govshievich | Denturist | 9045 Sw Barbur Blvd. Suit 117, Portland, OR 97219 | 2014-08-29 |
| 1255749404 | Kristin Rae Paruszkiewicz | Physical Therapist | 7943 Sw Barbur Blvd #1, Portland, OR 97219 | 2014-07-31 |
| 1639436488 | Michelle Lorraine Emery | Counselor | 7912 Sw 35th, Portland, OR 97219 | 2012-04-18 |
| 1588930192 | Steve Ryan | Speech-Language Pathologist | 3315 Sw Falcon St, Portland, OR 97219 | 2012-03-28 |
| 1104145952 | Multnomah Family Care Center | Clinic/Center | 6787 Sw Capitol Hwy, Portland, OR 97219 | 2010-05-19 |
| 1740518331 | Trilbie L Patteson | Physical Therapy Assistant | 5701 Sw Multnomah Boulevard, West Hills Health and Rehab, Portland, OR 97219 | 2009-11-20 |
| Find all providers in zip 97219 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609483064 | Alayna Louise Hutchinson | Dietitian, Registered | 5258 Ne Cleveland Ave, Portland, OR 97211-2614 | 2020-09-29 |
| 1558973370 | Kianna Aumiller | Dietitian, Registered | 2167 Sw Yamhill St, Portland, OR 97205-1417 | 2020-08-21 |
| 1255943189 | Lisa Gilmore | Dietitian, Registered | 5214 Sw View Point Ter, Portland, OR 97239-3940 | 2020-08-21 |
| 1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
| 1770192353 | Jenice A Powell | Dietitian, Registered | 104 Se 30th Pl, Portland, OR 97214-1915 | 2020-07-29 |
| 1386253698 | Margaret Senic | Dietitian, Registered | 1745 Sw Huntington Ave, Portland, OR 97225-4751 | 2020-07-23 |
| 1881212272 | Emily Ryder | Dietitian, Registered | 624 Nw 20th Ave Apt 1, Portland, OR 97209-1219 | 2020-07-11 |
| 1427686211 | Veena M Manohar | Dietitian, Registered | 1308 Ne Dekum St, Portland, OR 97211-4180 | 2020-03-29 |
| 1841825056 | Allison Leigh Williams | Dietitian, Registered | 7106 Se Raymond Ct, Portland, OR 97206-4439 | 2020-03-08 |
| 1114557782 | House Nine LLC | Dietitian, Registered | 1413 Se Hawthorne Blvd # 1, Portland, OR 97214-3640 | 2020-01-22 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.