Search › Washington › 235Z00000X
Mark Russel
NPI 1043565377 · on the registry since 2012
Practice
- Address
- 319 Nw Dogwood St
Issaquah, WA 98027 - Phone
- (425) 373-1315
Registry record
- Primary taxonomy
- 235Z00000X
235Z00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2012-07-24
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