Individual
CHELSIE MICHELLE RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2201 NW MARKET ST, SEATTLE, WA 98107-4025
(206) 789-7417
Mailing address
2201 NW MARKET ST, SEATTLE, WA 98107-4025
(206) 798-7417
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV008184-1
NY
Other
Enumeration date
07/11/2014
Last updated
12/17/2020
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