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NPI Code Detail

MEDICARE: EVERETT ALAN AMUNDSON

MEDICARE: EVERETT ALAN AMUNDSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2175T00000XPeer Specialist

General Provider Information

NPI Number : 1982560876
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVERETT ALAN AMUNDSON
Provider Business Mailing Address
First Line : 11900 BEACON AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98178-2811
Country : US
Telephone Number : 206-772-6900
Fax Number : 206-772-6566
Provider Business Practice Location Address
First Line : 11900 BEACON AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98178-2811
Country : US
Telephone Number : 206-772-6900
Fax Number : 206-772-6566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/05/2026
Last Update Date : 01/10/2026

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Directions to “ EVERETT ALAN AMUNDSON ” Practice Location

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