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Marcel Ettesvold
NPI 1669949368 · on the registry since 2018 · sole proprietor
Practice
- Address
- 3321 W Kennewick Ave Ste 150
Kennewick, WA 99336 - Phone
- (509) 783-2085
- Organisation at this address
- Pacific Vascular Incorporated
Lutheran Community Services Northwest
Lutheran Community Services NorthwestInferred from a shared address, not stated in the registry. - Clinicians at this address
- 223
Registry record
- Primary taxonomy
- Peer Specialist
175T00000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-08-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington