Individual
IVY BJORNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
1100 NE 47TH ST STE 101, SEATTLE, WA 98105-4685
(206) 527-0123
Mailing address
4111 SW MONROE ST, SEATTLE, WA 98136
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA 60141852
WA
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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