Search › Oregon › 104100000X
Russell Bauerlein
NPI 1871953380 · on the registry since 2016 · sole proprietor
Practice
- Address
- 707 Ne Couch St
Portland, OR 97232 - Phone
- (503) 542-4603
- Fax
- (503) 233-6093
- Organisation at this address
- Janus Youth Programs
Janus Youth Programs, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 117
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Sex
- Male
- Record last updated
- 2016-02-25
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 Oregon