MARK CARL SIVESIND


Address: 806 S Vine St, Port Angeles, WA 98362-7982
Phone: 3604522443

MARK CARL SIVESIND (NPI# 1457966418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1457966418
Entity Type Individual
Full Name MARK CARL SIVESIND
Credential SUDPT
Practice Address 806 S Vine St
Port Angeles
WA 98362-7982
Practice Telephone 3604522443
Practice Fax Number 3604522738
Mailing Telephone 3604522443
Mailing Fax Number 3604522738
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
61083927 WA Behavioral Health & Social Service Providers

Office Location

Street Address 806 S VINE ST
City PORT ANGELES
State WA
Zip Code 98362-7982

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1831735778 Jayme Marie Williams Technician 518 S. Liberty St., Port Angeles, WA 98362 2019-11-26
1780229559 Barbara Amsler Nutrition, Pllc Dietitian, Registered 320 E. 5th St., Port Angeles, WA 98362 2019-11-15
1902315005 Barbara Amsler Nutritionist 116 S. Ennis St, Port Angeles, WA 98362 2017-09-21
1134659667 Janet Li Hanson Registered Nurse 532 South Alder Lane, Port Angeles, WA 98362 2017-06-18
1790220192 Monica Kay Henry Massage Therapist 102 1/2 East 1st Street Suite #7, Port Angeles, WA 98362 2016-12-21
1124491725 Gabrielle Carter Naturopath 1126 Columbia St, Port Angeles, WA 98362 2015-11-04
1912301185 Danya Lyn Davis Massage Therapist 106 W. Lauridsen Blvd., Port Angeles, WA 98362 2014-10-17
1528470861 Richard Dean Thorson Orthopaedic Surgery 719 S. Laurel St, Olympic Chiropractic, Port Angels, WA 98362 2014-05-21
1780001743 Dr Adam Cramer Pllc Clinic/Center 104 W. 3rd St, Port Angeles, WA 98362 2014-03-27
1588089189 Melanie Mccaughan Counselor 933 E First St, Port Angeles, WA 98362 2014-02-19
Find all providers in zip 98362

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457951311 Jonathan B Hall Counselor 1107 Grant Ave, Port Angeles, WA 98362-2728 2020-10-29
1073085031 Crystal Ann Oravetz Counselor 243613 W Highway 101, Port Angeles, WA 98363-9810 2018-12-31
1396217774 Gill Martin Orr Counselor 221 N Race St, Port Angeles, WA 98362-3513 2018-12-21
1083004048 Annette-marie Vetter Counselor 330 E 1st St, Port Angeles, WA 98362-3133 2015-01-29
1588089189 Melanie Mccaughan Counselor 933 E First St, Port Angeles, WA 98362 2014-02-19
1275808974 Tricia Ann Burks Counselor 1210 E Front St, Suite C, Port Angeles, WA 98362-4325 2012-03-13
1316214232 Timothy Craig Counselor 834 Gunn Rd, Port Angeles, WA 98362-9575 2011-11-21
1700028867 Michael Glen Ray Counselor 1026 East First Street, Suite 2, Port Angeles, WA 98362 2009-04-03
1346497708 Gayle L Mccormick Counselor 3430 Hwy 101 E, Suite 10, Port Angeles, WA 98362 2008-08-27
1174789606 Ruth Lucia Mcneece Counselor 109 N Oak St, Port Angeles, WA 98362-2616 2008-08-04
Find all providers in PORT ANGELES

Competitor

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City PORT ANGELES
Zip Code 98362

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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