MARCEL ANTON ETTESVOLD
NPI 1669949368
Peer Specialist in Kennewick, WA

Q: What is Marcel Ettesvold's NPI number?

The NPI number for Marcel Ettesvold is 1669949368. It was assigned to this individual provider in the NPPES registry on October 31, 2018.

Q: What is Marcel Ettesvold's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Marcel Ettesvold was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 31, 2018

3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 99336(509) 783-2085 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2019, Oct 31, 2018 (2 updates tracked since 2018).

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About Marcel Anton Ettesvold NPPES

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

MARCEL ANTON ETTESVOLD (NPI 1669949368) is an individual peer specialist in Kennewick, Washington, licensed in Washington (CG60817318) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1669949368

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameMARCEL ANTON ETTESVOLD

Location Address3321 W KENNEWICK AVE STE 150Kennewick, WA 99336-2968

Mailing Address3321 W Kennewick Ave Ste 150Kennewick, WA 99336-2968 · (509) 735-6446

Phone(509) 783-2085

Sole ProprietorYes

Enumeration DateOctober 31, 2018

Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration

✔ NPI 1669949368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in WA · CG60817318

Definition

Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

3321 W KENNEWICK AVE STE 150, Kennewick, WA 99336

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Other Providers at the Same Location NPPES 20

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

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