Amaru, Russell R.
Amaru, Russell R. is an individual health care provider with primary practice located at 2321 W Dayton Airport Rd , Shelton WA 98584-6319. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Amaru, Russell R. can be contacted via phone (360) 427-4596.Contact Information
Primary practice address
2321 W Dayton Airport Rd
Shelton WA 98584-6319
Phone: (360) 427-4596
Fax: (360) 427-4654
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA10003509 | Washington |
Profile Details
| NPI number | 1942530647 |
|---|---|
| LBN Legal business name | Amaru, Russell R. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2010 |
| Last updated | Aug 2nd, 2010 - about 16 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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