Dr R Russ, PHD, SUDP is a
Psychologist based in Longview, Washington. Dr R Russ is licensed to practice in Washington (license number PY60373444) and his current practice location is
748 14th Ave, Longview, Washington. He can be reached at his office (for appointments etc.) via phone at
(360) 200-5419.
NPI number for Dr R Russ is 1023449634 and his current mailing address is Po Box 2394, Longview, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023449634.
Healthcare Provider's Profile
Full Name | Dr R Russ |
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Gender | Male |
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Speciality | Psychologist |
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Location | 748 14th Ave, Longview, Washington |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023449634
- Provider Enumeration Date: 12/06/2013
- Last Update Date: 11/12/2021
Medical Identifiers
Medical identifiers for Dr R Russ such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023449634 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CP00000957 (Washington) | Secondary |
103T00000X | Psychologist | PY60373444 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr R Russ is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr R Russ, PHD, SUDP Po Box 2394, Longview, WA 98632-8455 Ph: (360) 200-5419 | Dr R Russ, PHD, SUDP 748 14th Ave, Longview, WA 98632-2315 Ph: (360) 200-5419 |
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