Individual
RUSSELL STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 828-5396
Mailing address
505 NE 87TH AVE STE 210, VANCOUVER, WA 98664-1988
(360) 828-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.MD.61132817
WA
207L00000X
Anesthesiology Physician
MD194239
OR
Other
Enumeration date
05/01/2015
Last updated
07/15/2021
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