TRACY LYNNE RUSSELL MD
NPI 1629040894
Pediatrics in Aberdeen, WA

Active since February 02, 2006
611 N F ST, STE 201, ABERDEEN, WA 98520(360) 533-7677(360) 533-0470 Get Directions Write a Review

NPPES record last updated: July 19, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Tracy Lynne Russell Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRACY LYNNE RUSSELL MD (NPI 1629040894) is an individual pediatrics provider in Aberdeen, Washington, licensed in Washington (MD00046873) and active in the NPI registry since February 2006.

NPPES Registry Identity

NPI1629040894
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameTRACY LYNNE RUSSELLCredential: MD
Location Address611 N F ST, STE 201Aberdeen, WA 98520-2667
Mailing Address611 N F St, Ste 201Aberdeen, WA 98520-2667 · (360) 533-7677 · Fax (360) 533-0470
Fax(360) 533-0470
Sole ProprietorNo
Enumeration DateFebruary 2, 2006
Last NPPES UpdateJuly 19, 2011
NPI 1629040894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in WA · MD00046873
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

611 N F ST, Aberdeen, WA 98520

Other Names 1

Former Name (1)Tracy Lynn Knights M.d,

Other Identifiers 2

Medicaid1123256WA
Medicare UPINP46873WA

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
611 N F ST, STE 201
ABERDEEN, WA 98520
Prosthetic/Orthotic Supplier
611 N F ST
ABERDEEN, WA 98520
Pediatrics (Adolescent Medicine)
611 N F ST, SUITE 201
ABERDEEN, WA 98520

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629040894, enumerated as an "individual" on February 02, 2006.

The provider is located at 611 N F ST STE 201 ABERDEEN, WA 98520 and the phone number is (360) 533-7677.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.