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
Fax: (360) 514-7384
Website:

Health care specialties

SpecialtyCodeLicense #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 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1093789372 NPPES
Oregon Other 500659745 MEDICAID

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