Lauren B Russell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201241975RN Issued in OR

Practice address

600 SE Marion St Unit 103
Portland, OR 97202-7058

Phone

(503) 453-0412

NPI assigned

Oct 18, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1619693892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 SE MARION ST UNIT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027058",
            "telephone_number": "503-453-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 SE MARION ST UNIT 103",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972027058",
            "telephone_number": "503-453-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSSELL",
        "first_name": "LAUREN",
        "middle_name": "B",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201241975RN",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD OF NURSING",
            "identifier": "201241975RN",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Russell, LMFT
• June Marilyn Russell, M.D.
• Kathleen Russell, CSWA
• Kelly Russell, M.S.
• Kraig M Russell, MD
• Marie-Louise Russell, M.A.
• Mary Ann Russell, LPC
• Mary Catherine Russell, FNP
• Melissa Russell
• Nicole S Russell, BSW

• Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.