SearchMaine225700000X

Tina Russell, LMT

NPI 1548101470 · on the registry since 2026 · sole proprietor

Practice

Address
1023 Washington Ave
Portland, ME 04103
Phone
(207) 773-5778
Fax
(207) 773-5773
Organisation at this address
Jade Trade Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225700000X
225700000X
Licence states on file
ME
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-04-03

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maine