Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN JAKE RUSSELL, L.M.P.
ActiveJUSTIN JAKE RUSSELL, L.M.P. is a Specialist healthcare provider located in LEAVENWORTH, Washington. NPI 1003092594 is currently active in the NPPES registry. Verify at CMS.
Specialist · LEAVENWORTH, WA
Registration Details
- NPI Number
- 1003092594
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 14, 2008 (18.574988888319 yrs)
- Last Updated
- Aug 14, 2008
- License
-
MA00024875 (WA)
Practice Information
- Address
-
22470 HUMPHREY DRLEAVENWORTH, WA, 988269240Browse WA providers · Browse ZIP 98826
- Phone
- 2533897510
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in LEAVENWORTH, WA
| Name | Credential | NPI |
|---|---|---|
| HARLAN LAYNE SHEPPARD | L.M.P. | 1477622629 |
| JOANN CECILE ZUGEL | L.M.P. | 1225153794 |
| ANNETTE ELISABETH LORZ | L.M.P. | 1235254798 |
| MRS. ANNIE ELIZABETH TIEDEMAN | LMP | 1578763967 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.