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NPI Code Detail

MEDICARE: WALTER SYTSMA

MEDICARE: WALTER SYTSMA
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

General Provider Information

NPI Number : 1912313701
Entity Type Code : Individual
Provider Name (Legal Business Name) : WALTER SYTSMA
Provider Business Mailing Address
First Line : 1133 RAILROAD AVE
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5055
Country : US
Telephone Number : 360-676-2164
Fax Number :
Provider Business Practice Location Address
First Line : 1133 RAILROAD AVE
Second Line :
City : BELLINGHAM
State : WA
Zip : 98225-5055
Country : US
Telephone Number : 360-676-2164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2014
Last Update Date : 12/28/2025

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Directions to “ WALTER SYTSMA ” Practice Location

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