Ethan Budd Russo is a Vashon, Washington based neurologist who is specialized in Neurology. Active license number of Ethan Budd Russo is 00018304 for Neurology in Washington. His current practice location is 20402 81st Avenue Sw, Vashon. Patients can reach him at 206-304-4344. Ethan Budd Russo NPI number (Unique professional ID assigned by NPPES) is 1760024632.
Ethan Budd Russo 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.
Complete Profile:
Ethan Budd Russo speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Ethan Budd Russo |
| Specialization: | Neurology |
| Gender: | Male |
| Practice Address: | 20402 81st Avenue Sw, Vashon,
Washington, 98070-6253 |
| Phone: | 206-304-4344 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1760024632 |
| NPI Enumeration Date: | 12 Oct, 2019 |
| NPI Last Update On: | 12 Oct, 2019 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ethan Budd Russo are as mentioned below.
| License Number | Specialization | State | Status | |
| 00018304 | Neurology | Washington | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Ethan Budd Russo such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00018304 | Other | Washington | WASHINGTON STATE MEDICAL LICENSE |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Ethan Budd Russo
20402 81st Avenue Sw,
Vashon, Washington |
| Zip: | 98070-6253 |
| Phone Number: | 206-304-4344 |
Patients can reach Ethan Budd Russo at
20402 81st Avenue Sw, Vashon, Washington or can
call to book an appointment on 206-304-4344.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.