Ethan Budd Russo
Ethan Budd Russo is a Neurology Physician in Vashon, Washington. Practices as a sole proprietor. Licensed in Washington.
- Licensed in
- WA
- In the registry since
- 2019
Practice location Address checks out
20402 81st Ave SWVashon, WA 98070-6253
Phone: (206) 304-4344
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology Physician (primary) | Taxonomy 2084N0400X · Licence 00018304 (WA) |
|---|
Record details
| NPI number | 1760024632 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 12, 2019 |
| Last updated in NPPES | October 12, 2019 |
| Mailing address | 20402 81st Avenue Sw, Vashon, WA 98070-6253 |