IndividualActive
Michael Russo, N.D.
NPI 1023146644 · Naturopath · Portland, ME
Provider details
- NPI number
- 1023146644
- Entity type
- Individual
- Primary specialty
- NaturopathOther Service Providers
- Credential
- N.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- NP239 (ME)
Specialties & taxonomies
Other Service Providers
Practice location
499 Stevens Ave
Portland, ME 04103-2636
Phone: (207) 774-6688
Approximate (ZIP-level) locationGet directions
Mailing address
499 Stevens Ave
Portland, ME 04103-2636
Registry dates
- Enumerated
- 2007-03-02
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.