Individual
CRAIG SIVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
12400 E MARGINAL WAY S, AMB CLINICAL REVIEW, TUKWILA, WA 98168-2559
(206) 901-6979
Mailing address
13426 GREENWOOD AVE N, UNIT 203, SEATTLE, WA 98133-1801
(206) 612-3827
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN00175484
WA
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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