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MARK CARL SIVESIND SUDPT
NPI 1457966418
Counselor - Addiction (Substance Use Disorder) in Port Angeles, WA

Active since September 15, 2020
806 S VINE ST, PORT ANGELES, WA 98362(360) 452-2443(360) 452-2738 Get Directions Write a Review

NPPES record last updated: September 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark Carl Sivesind Sudpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARK CARL SIVESIND SUDPT (NPI 1457966418) is an individual addiction (substance use disorder) provider in Port Angeles, Washington, licensed in Washington (61083927) and active in the NPI registry since September 2020.

NPPES Registry Identity

NPI1457966418
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMARK CARL SIVESINDCredential: SUDPT
Location Address806 S VINE STPort Angeles, WA 98362-7982
Mailing Address806 S Vine StPort Angeles, WA 98362-7982 · (360) 452-2443 · Fax (360) 452-2738
Phone(360) 452-2443
Fax(360) 452-2738
Sole ProprietorNo
Enumeration DateSeptember 15, 2020
NPPES CertifiedSeptember 15, 2020
✔ NPI 1457966418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · 61083927
806 S VINE ST, Port Angeles, WA 98362
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

QUINN MARIE ERSLAND CO61126051
Counselor (Addiction (Substance Use Disorder))
806 S VINE ST
PORT ANGELES, WA 98362
Clallam County (360) 452-2443
MR. BRET W CHRISTIANSON SUDPT
Counselor (Addiction (Substance Use Disorder))
806 S VINE ST
PORT ANGELES, WA 98362
Clallam County (360) 452-2443
JULIE ANN MCCOY CO 61301254
Counselor (Addiction (Substance Use Disorder))
806 S VINE ST
PORT ANGELES, WA 98362
Clallam County (360) 461-8733
MR. JOHNNY F WATTS SUDP, ADMINISTRATOR
Counselor (Addiction (Substance Use Disorder))
806 S VINE ST
PORT ANGELES, WA 98362
Clallam County (360) 452-2443

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mark Sivesind's NPI number?

The NPI number for Mark Sivesind is 1457966418. It was assigned to this individual provider in the NPPES registry on September 15, 2020.

Where is Mark Sivesind located?

Mark Sivesind practices at 806 S Vine St, Port Angeles, WA 98362. The listed phone number is (360) 452-2443.

What is Mark Sivesind's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Mark Sivesind was last updated on September 15, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.