PAMELA SUE RUSSO


Address: 103 E First Ave, Spokane, WA 99202-1510
Phone: 5098384651

PAMELA SUE RUSSO (NPI# 1295342111) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295342111
Entity Type Individual
Full Name PAMELA SUE RUSSO
Other Name PAMELA SUE JASKELA
Credential SUDP
Practice Address 103 E First Ave
Spokane
WA 99202-1510
Mailing Address 107 S Division St
Spokane
WA 99202-1510
Practice Telephone 5098384651
Practice Fax Number 5093632762
Mailing Telephone 5098384651
Mailing Fax Number 5093632762
Enumeration Date 2020-09-24
Last Update Date 2020-10-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
CP60572819 WA Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers PAMELA RUSSO

NPI Name Taxonomy Address Enumeration
1922551894 Pamela J Russo Social Worker 900 S Woodward St, Allentown, PA 18103-4179 2016-07-27

Office Location

Street Address 103 E FIRST AVE
City SPOKANE
State WA
Zip Code 99202-1510

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669099552 Morgan Physiotherapy, Pllc Physical Therapist 716 South Arthur Street, Spokane, WA 99202 2020-06-26
1659926863 Hiliary Beatty Marriage & Family Therapist 3101 E Boone Avenue, Spokane, WA 99202 2019-08-05
1992359301 Jennifer Pelzel Pharmacist Pbs, 205 E Spokane Falls Blvd, Spokane, WA 99202 2019-07-25
1750858171 Elyse M Tullar Counselor 3101 E Boone Ave, Spokane, WA 99202 2018-10-24
1952830333 Kaleb E Walker Case Manager/Care Coordinator 1002 N Superior, Spokane, WA 99202 2017-06-08
1659823987 Laura Lenoue Chiropractor 301 E Sharp, Lenoue Integrative Medicine, Spokane, WA 99202 2016-11-03
1376095141 Clinton George Ralph Counselor 624 S Cowley, Spokane, WA 99202 2016-10-27
1144772245 Megan Nicole Korst Counselor 104 S. Freya, Red Flag Bldg, Suite 101b, Spokane, WA 99202 2016-10-25
1043766652 Moffitt Children's Dentistry Dentist 520 S Cowley St Ste 101, Spokane, WA 99202 2016-09-01
1881147296 Natalie Stine Dietitian, Registered 203 E Spague Avenue, Spokane, WA 99202 2016-08-02
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528678844 April Antonio Student in an Organized Health Care Education/Training Program 412 E Spokane Falls Blvd # 130, Spokane, WA 99202-2131 2020-08-01
1467085803 Kate Anahola Hall Student in an Organized Health Care Education/Training Program 919 E 14th Ave, Spokane, WA 99202-2537 2020-02-13
1669024212 Tara Alexandria Myatt Student in an Organized Health Care Education/Training Program 3115 S Spring Creek Ln, Spokane, WA 99224-9612 2019-07-14
1295392348 Jennifer Bray Student in an Organized Health Care Education/Training Program 4112 S Custer Ct, Spokane, WA 99223-1285 2019-05-23
1407410731 Helya Peyman Student in an Organized Health Care Education/Training Program 3029 E 34th Ave Unit A, Spokane, WA 99223-4620 2019-04-22
1538622949 Audrey Woo Student in an Organized Health Care Education/Training Program 8802 N Elm St, Spokane, WA 99208-6433 2019-04-11
1942761671 Melissa Zavislan Student in an Organized Health Care Education/Training Program 3222 S Dearborn Ln, Spokane, WA 99223-1535 2019-03-26
1346700655 Christina Rose Student in an Organized Health Care Education/Training Program 120 W. 8th Avenue, Spokane, WA 99204 2019-03-22
1053871889 Karli Meehan Student in an Organized Health Care Education/Training Program 2611 S Post St, Spokane, WA 99203-1843 2019-03-20
1790245579 Mindy Woodruff Student in an Organized Health Care Education/Training Program 9111 S Cedar Rim Ln, Spokane, WA 99224-9665 2019-03-20
Find all providers in SPOKANE

Competitor

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City SPOKANE
Zip Code 99202

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Dataset Information

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.

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