Most Relevant Information
Provider Data
| NPI Number: | 1003302266 |
| Provider Name: | ANDREW SEVERTSEN |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/10/2018 |
| Last Updated: | 03/15/2022 |
Provider Practice Location
5455 ALMIRA DR NE
BREMERTON
WA
983118330
Practice Location Phone/Fax
| Phone: | 3603735031 |
| Fax: |
Provider Mailing Location
5455 ALMIRA DR NE
BREMERTON
WA
983118330
Provider Mailing Phone/Fax
| Phone: | 3603735031 |
| Fax: |