Ethan Budd Russo
NPI #1760024632 in Vashon, Washington
Provider Information
- NPI Number
- 1760024632
- Entity Type
- Individual
- Name
- Ethan Budd Russo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Psychiatry & Neurology - Neurology
- Enumeration Date
- Oct 12, 2019
- Last Updated
- Oct 12, 2019
Practice Location
- Address
- 20402 81ST AVENUE SW
- City
- Vashon
- State
- Washington
- ZIP Code
- 98070-6253
- Phone
- (206) 304-4344
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Neurology — Neurology |
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