Individual
DR. MICHAEL D RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3633 PACIFIC AVE, SUITE 204, TACOMA, WA 98418-7900
(253) 274-1668
Mailing address
3633 PACIFIC AVE STE 204, TACOMA, WA 98418-7900
(253) 274-1668
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31927
WA
207L00000X
Anesthesiology Physician
MD181952
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8227308
—
WA
Enumeration date
03/14/2006
Last updated
12/08/2025
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