Individual
MARK ELLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3417 EVANSTON AVE N STE 306, SEATTLE, WA 98103-8967
(206) 251-4014
Mailing address
3417 EVANSTON AVE N STE 306, SEATTLE, WA 98103-8967
(206) 659-1750
(206) 752-8505
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
MD60492007
WA
2084P0800X
Psychiatry Physician
Primary
MD60492007
WA
Other
Enumeration date
05/04/2011
Last updated
03/24/2026
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