Individual
MICHAEL SEVERTSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
433 31ST AVE E, SEATTLE, WA 98112-4826
(206) 850-0006
Mailing address
433 31ST AVE E, SEATTLE, WA 98112-4826
(206) 850-0006
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
11/26/2024
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