NATHANAEL RUSSELL

ARLINGTON, WA
NPI1912354119
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WA  PA60803141)
Enumeration Date2016-05-17
Last Update Date2017-11-28
Business Address
NATHANAEL RUSSELL
3823 172ND ST NE
ARLINGTON, WA 98223-7735
Phone number: 360-386-3600
Mailing Address
NATHANAEL RUSSELL
PO BOX 50095
SEATTLE, WA 98145-5095
Phone number: 206-520-5700
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