Dr CHARLES A RUSSELL is a male medical professional, specializing in Hand Surgery. He graduated in 1978 from Loma Linda University School Of Medicine.
2820 GRIFFIN AVE
SUITE 210
ENUMCLAW
WA
980222373
Tel: 3608251404
| Npi | 1386669356 |
| Pac Id | 3971498981 |
| Professional Enrollment Id | I20111228000715 |
| Last Name | RUSSELL |
| First Name | CHARLES |
| Middle Name | A |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | HAND SURGERY |
| Secondary Specialty 1 | ORTHOPEDIC SURGERY |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | ORTHOPEDIC SURGERY |
| Organization Legal Name | |
| Group Practice Pac Id | |
| Number Of Group Practice Members | |
| Line 1 Street Address | 2820 GRIFFIN AVE |
| Line 2 Street Address | SUITE 210 |
| Marker Of Address Line 2 Suppression | |
| City | ENUMCLAW |
| State | WA |
| Zip Code | 980222373 |
| Phone Number | 3608251404 |
| Hospital Affiliation Ccn 1 | 501335 |
| Hospital Affiliation Lbn 1 | ST ELIZABETH HOSPITAL |
| Hospital Affiliation Ccn 2 | |
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| Professional Accepts Medicare Assignment | Y |
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