Individual
MR. IVAR SANDSMARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDPT
Contact information
Practice address
11000 LAKE CITY WAY NE OFC, SEATTLE, WA 98125-6748
(206) 461-3614
Mailing address
11000 LAKE CITY WAY NE OFC, SEATTLE, WA 98125-6748
(206) 461-3614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60696848
WA
Other
Enumeration date
09/27/2018
Last updated
09/27/2018
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