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NPI Code Detail

MEDICARE: JULIA A RUSS

MEDICARE: JULIA A RUSS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerASW135135CA

General Provider Information

NPI Number : 1659228898
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA A RUSS
Provider Business Mailing Address
First Line : 169 MASON ST STE 300
Second Line :
City : UKIAH
State : CA
Zip : 95482-4483
Country : US
Telephone Number : 707-463-3300
Fax Number : 707-463-3318
Provider Business Practice Location Address
First Line : 169 MASON ST STE 300
Second Line :
City : UKIAH
State : CA
Zip : 95482-4483
Country : US
Telephone Number : 707-463-3300
Fax Number : 707-463-3318
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ JULIA A RUSS ” Practice Location

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