Russi, Scott Andrew
Russi, Scott Andrew is an individual health care provider with primary practice located at 505 Ne 87Th Ave Ste 301 , Vancouver WA 98664-1965. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Russi, Scott Andrew can be contacted via phone (360) 514-7374.Contact Information
Primary practice address
505 Ne 87Th Ave Ste 301
Vancouver WA 98664-1965
Phone: (360) 514-7374
Fax: (360) 514-7384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD61007212 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD163726 | Oregon |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 4748 | Alaska |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61007212 | Washington |
Profile Details
| NPI number | 1093789372 |
|---|---|
| LBN Legal business name | Russi, Scott Andrew |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 8th, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093789372 | NPPES |
| Oregon | Other | 500659745 | MEDICAID |
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