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Russell Amaru, PA-C
NPI 1942530647 · on the registry since 2010
Practice
- Address
- 2321 W Dayton Airport Rd
Shelton, WA 98584 - Phone
- (360) 427-4596
- Fax
- (360) 427-4654
- Organisation at this address
- Washington State Department Of Corrections Washington Corrections Cent
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- Medical Physician Assistant
363AM0700X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-08-02
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