Individual
RILEY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16255 NE 87TH ST STE 150, REDMOND, WA 98052-7464
(425) 882-1697
(425) 885-4179
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC70104351
WA
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2026
Last updated
07/07/2026
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