Individual provider · Type 1 NPI
Ethan Budd Russo
Neurology Physician · Vashon, WA
NPI number
1760024632
Active
Practice location
20402 81st Avenue SW
Vashon, WA 98070-6253
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurology Physician Primary | 2084N0400X | 00018304 (WA) |
Neurology Physician: A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
About NPI 1760024632
Ethan Budd Russo's National Provider Identifier is 1760024632, issued on Oct 12, 2019. The primary taxonomy on file is Neurology Physician (2084N0400X), and the practice location is in Vashon, WA. The record was last updated on Oct 12, 2019.