Individual
DR. RUSS PATRICK HENRIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1440
(253) 968-0443
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1440
(253) 968-0443
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
958
NE
2084N0400X
Neurology Physician
Primary
OP61226671
WA
Other
Enumeration date
03/20/2011
Last updated
05/21/2023
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