DR. MARA RUSSELL (NPI# 1548670631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548670631 |
| Entity Type | Individual |
| Full Name | DR. MARA RUSSELL |
| Credential | D.C. |
| Practice Address |
1151 Nw Sammamish Rd #101 Issaquah WA 98027-8937 |
| Practice Telephone | 4253691040 |
| Mailing Telephone | 4253691040 |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | CH60455045 | WA | Chiropractic Providers |
| Street Address |
1151 NW SAMMAMISH RD #101 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8937 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508231952 | Jessica Slaughter | Massage Therapist | 1151 Nw Sammamish Rd, Issaquah, WA 98027-8937 | 2015-12-10 |
| 1013308196 | Nicole Leshaw | Chiropractor | 1151 Nw Sammamish Rd, #101, Issaquah, WA 98027 | 2015-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811453921 | Eastside Ideal Health Issaquah, Pllc | Chiropractor | 1525 Nw Mall St, Issaquah, WA 98027-8947 | 2019-02-13 |
| 1811475551 | Marina Prodanovic | Chiropractor | 6220 E Lake Sammamish Pkwy Se Ste A, Issaquah, WA 98029-8925 | 2018-08-03 |
| 1861983314 | Sequoia West Corp | Chiropractor | 1420 Nw Gilman Blvd Ste 28005, Issaquah, WA 98027-5394 | 2018-05-21 |
| 1235666579 | Brady Levi Seaman | Chiropractor | 8180 304th Ave Se, Issaquah, WA 98027-8889 | 2017-05-17 |
| 1942750955 | Terri Truesdale Dc LLC | Chiropractor | 700 Front St S, B203, Issaquah, WA 98027-4251 | 2016-10-13 |
| 1750740601 | Karen Lumb | Chiropractor | 355 Nw Gilman Blvd, Suite 105, Issaquah, WA 98027-2401 | 2016-02-22 |
| 1669747812 | Sherwood Chiropractic, Ps | Chiropractor | 435 E Sunset Way, Issaquah, WA 98027-3440 | 2012-03-20 |
| 1669779419 | Upton Chiropractic | Chiropractor | 1836 25th Ave Ne, Issaquah, WA 98029-2613 | 2011-02-14 |
| 1265668123 | Steven D. Taylor | Chiropractor | 3707 Providence Point Dr Se Ste B, Issaquah, WA 98029-6216 | 2009-06-05 |
| 1821274440 | Joshua Ryan Stehmeier | Chiropractor | 22525 Se 64th Pl Ste 110, Issaquah, WA 98027-5386 | 2008-01-14 |
| Find all providers in ISSAQUAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.