NPI 1174397004
Russell Edward Fisher
Practice location
- Address
- 733 7th Ave STE 110, Kirkland, WA 98033-5657
- Phone
- (206) 717-8161
- Mailing address
- 29033 229th Ave SE, Black Diamond, WA 98010-1249
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1174397004
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 10 Nov 2023
- Record last updated
- 10 Nov 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.