Individual
MR. RUSSELL EDWARD FISHER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
733 7TH AVE STE 110, KIRKLAND, WA 98033-5657
(206) 717-8161
Mailing address
29033 229TH AVE SE, BLACK DIAMOND, WA 98010-1249
(971) 439-5944
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
161335894
WA
Other
Enumeration date
11/10/2023
Last updated
11/10/2023
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