Provider Demographics
NPI:1437021581
Name:BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Entity type:Organization
Organization Name:BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:M
Authorized Official - Last Name:RUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-320-7136
Mailing Address - Street 1:PO BOX 873882
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687-3882
Mailing Address - Country:US
Mailing Address - Phone:503-320-7136
Mailing Address - Fax:503-776-7719
Practice Address - Street 1:1827 NE 44TH AVE STE 310
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-1468
Practice Address - Country:US
Practice Address - Phone:503-320-7136
Practice Address - Fax:503-776-7719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BRITTANY RUSS' CLINICAL SOCIAL WORK AND THERAPY SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-18
Last Update Date:2025-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty