Individual
CARLA RAE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 PACIFIC AVE, EVERETT, WA 98201-4168
(425) 339-5430
(425) 339-5454
Mailing address
7600 EVERGREEN WAY, EVERETT, WA 98203-6421
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD60136154
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062RU
REGENCE
WA
01
—
0261505
L&I AND CRIME VICTIMS
WA
05
—
1568541365
—
WA
Enumeration date
11/03/2006
Last updated
05/06/2026
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