Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brian Russo, PA

Individual provider Physician Assistant · NPI 1427301084

Brian Russo, PA is a Physician Assistant in Issaquah, Washington. Practices as a sole proprietor and works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

751 NE Blakey Drive Swedish Medical Ctr
Issaquah, WA 98027
Phone: (425) 394-0610
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1330 Rockefeller Ave Ste 210, Everett, WA 98201-1676 — (425) 261-4940

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 60310413 (WA)

Record details

NPI number1427301084
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 19, 2012
Last updated in NPPESNovember 6, 2021
Certification dateNovember 6, 2021
Mailing address2005 Nw Sammamish Rd, Issaquah, WA 98027-8940

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