Individual
GARRETT RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1229 MADISON ST, STE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184
Mailing address
1229 MADISON ST, STE 1440, SEATTLE, WA 98104-3538
(206) 625-0578
(206) 625-9184
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD187302
OR
207L00000X
Anesthesiology Physician
Primary
MD60928566
WA
Other
Enumeration date
05/14/2014
Last updated
08/29/2019
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