IVAR SANDSMARK

SEATTLE, WA
NPI1003391723
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60696848)
Enumeration Date2018-09-27
Last Update Date2018-09-27
Business Address
Mr. IVAR SANDSMARK CDPT
11000 LAKE CITY WAY NE OFC
SEATTLE, WA 98125-6748
Phone number: 206-461-3614
Mailing Address
Mr. IVAR SANDSMARK CDPT
11000 LAKE CITY WAY NE OFC
SEATTLE, WA 98125-6748
Phone number: 206-461-3614