Individual provider · Type 1 NPI

Maria Jeanette Russell, PA-C

Physician Assistant · Shoreline, WA

NPI number 1053131060 Active

Practice location

20120 Ballinger Way NE
Shoreline, WA 98155-1117

Mailing address

17837 Ashworth Ave N
Shoreline, WA 98133-5018

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA.PA.70092411 (WA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

2 other providers at this address

Other physician assistant providers in Shoreline

See all in Shoreline →

About NPI 1053131060

Maria Jeanette Russell, PA-C's National Provider Identifier is 1053131060, issued on Oct 14, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Shoreline, WA. The record was last updated on Apr 8, 2026.