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:
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Health care specialties

SpecialtyCodeLicense #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 15 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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