Individual
CAMERON RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2445 140TH AVE NE, SUITE B105, BELLEVUE, WA 98005-1879
(425) 644-6328
(425) 644-6295
Mailing address
1803 SE 27TH ST, #213D, MERCER ISLAND, WA 98040
(206) 353-9614
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT00004302
WA
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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