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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRIAN RUSSO, PA

Active Sole Proprietor

BRIAN RUSSO, PA is a Physician Assistant healthcare provider located in ISSAQUAH, Washington. NPI 1427301084 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · ISSAQUAH, WA

Registration Details

NPI Number
1427301084
Provider Type
Individual
Gender
Male
NPI Issued
Oct 19, 2012 (13.831316385207 yrs)
Last Updated
Nov 6, 2021
License
60310413 (WA)
Sole Proprietor
Yes

Practice Information

Address
751 NE BLAKEY DRIVE
SWEDISH MEDICAL CENTER
ISSAQUAH, WA, 98027
Browse WA providers · Browse ZIP 98027
Phone
4253940610
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in ISSAQUAH, WA

Name Credential NPI
MS. LISA A. RENSBERGER PA-C 1841243383
DAVID CARD 1518995794
MICHELLE LYNNE VIERRA PA-C 1659451631
MR. DANIEL NATHAN LINDNER PA-C 1033280268
DARCI L MAYETTE PA-C 1306041793
SUZANNE M. MINER PAC 1124210612
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.