Individual
ERIN RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
201 NE PARK PLAZA DR STE 246, VANCOUVER, WA 98684-5874
(360) 696-0588
Mailing address
201 NE PARK PLAZA DR STE 246, VANCOUVER, WA 98684-5874
(360) 696-0588
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1007
MT
Other
Enumeration date
09/11/2007
Last updated
11/09/2008
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