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ANDREA SUSAN RUSSELL LAC MACOM NPI 1669538880


NPI Information

NPI: 1669538880
Provider Name: ANDREA SUSAN RUSSELL, LAC, MACOM
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
5410 CALIFORNIA AVE SW
#203
SEATTLE, WA
ZIP 98136
Phone: (206) 200-3595
Get Directions

Andrea Susan Russell, LAC, MACOM is an acupuncturist in Seattle, WA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Andrea Susan Russell, LAC, MACOM NPI is 1669538880. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5410 CALIFORNIA AVE SW
#203
SEATTLE, WA
ZIP 98136-562
Phone: (206) 200-3595

The enumeration date for this NPI number is 12/29/2006 and was last updated on 8/15/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1171100000XAcupuncturistAC00002906WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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