IndividualActive
Russell Grevenstuk
NPI 1821754201 · Mental Health Counselor · Junction City, OR
Provider details
- NPI number
- 1821754201
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- PROFESSIONALLICENSE
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
29398 Recovery Way Ste 2
Junction City, OR 97448-8447
Phone: (541) 998-4574
Fax: (541) 998-4533
Approximate (ZIP-level) locationGet directions
Mailing address
3587 Heathrow Way
Medford, OR 97504-4004
Registry dates
- Enumerated
- 2021-11-10
- Last updated
- 2025-01-22
- Certified
- 2021-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.