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Individual

MR. RUSSELL ARTHUR CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
COLO

Contact information

Practice address
4800 SAND POINT WAY NE, W4657, SEATTLE, WA 98105-3901
(206) 987-3587
(206) 987-5516
Mailing address
4800 SAND POINT WAY NE, W4657, SEATTLE, WA 98105-3901
(206) 987-3587
(206) 987-5516

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0I00000007
WA

Other

Enumeration date
06/16/2008
Last updated
06/16/2008
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