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ETHAN BUDD RUSSO
NPI 1760024632
Psychiatry & Neurology - Neurology in Vashon, WA

Active since October 12, 2019
20402 81ST AVENUE SW, VASHON, WA 98070(206) 304-4344 Get Directions Write a Review

NPPES record last updated: October 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ethan Budd Russo NPPES

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

ETHAN BUDD RUSSO (NPI 1760024632) is an individual neurology provider in Vashon, Washington, licensed in Washington (00018304) and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1760024632
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameETHAN BUDD RUSSO
Location Address20402 81ST AVENUE SWVashon, WA 98070-6253
Mailing Address20402 81st Avenue SwVashon, WA 98070-6253 · (206) 304-4344
Phone(206) 304-4344
Sole ProprietorYes
Enumeration DateOctober 12, 2019
✔ NPI 1760024632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in WA · 00018304
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
20402 81ST AVENUE SW, Vashon, WA 98070
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Other Identifiers 1

Other00018304WA · Washington State Medical License

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ethan Russo's NPI number?

The NPI number for Ethan Russo is 1760024632. It was assigned to this individual provider in the NPPES registry on October 12, 2019.

Where is Ethan Russo located?

Ethan Russo practices at 20402 81st Avenue SW, Vashon, WA 98070. The listed phone number is (206) 304-4344.

What is Ethan Russo's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

When was this NPI record last updated?

The NPPES record for Ethan Russo was last updated on October 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.