Individual
DAVID LEE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
429 MADRONA ST, EASTSOUND, WA 98245-8573
(360) 376-4949
(833) 992-2162
Mailing address
PO BOX 1989, EASTSOUND, WA 98245-1989
(360) 376-4949
(833) 992-2162
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00043008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740233162
—
WA
05
—
8379844
—
WA
Enumeration date
05/18/2006
Last updated
07/22/2025
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