Search › Washington › 174400000X
Justin Russell, L.M.P
NPI 1003092594 · on the registry since 2008
Practice
- Address
- 22470 Humphrey Dr
Leavenworth, WA 98826 - Phone
- (253) 389-7510
Registry record
- Primary taxonomy
- 174400000X
174400000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-08-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington