Mark Russel
NPI #1043565377 in Issaquah, Washington
Provider Information
- NPI Number
- 1043565377
- Entity Type
- Individual
- Name
- Mark Russel
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- Jul 24, 2012
- Last Updated
- Jul 24, 2012
Practice Location
- Address
- 319 NW DOGWOOD ST
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-3216
- Phone
- (425) 373-1315
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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