Individual
DR. STACY MICHAELA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4800 SAND POINT WAY NE, SEATTLE, WA 98105-3901
(206) 987-2524
Mailing address
4800 SAND POINT WAY NE, M/S OC.9.820, SEATTLE, WA 98105-3901
(206) 987-2524
(206) 985-3399
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
BP10075278
TX
208000000X
Pediatrics Physician
Primary
MD61581616
WA
Other
Enumeration date
04/13/2021
Last updated
11/18/2025
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