Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669949368 Individual Practitioner Male Practitioner

Marcel Anton Ettesvold

Peer Specialist • Kennewick, WA

Professional Overview & Biography Verified Profile Summary

Marcel Ettesvold is a registered healthcare professional specializing in Peer Specialist in Kennewick, WA. Practice services are available at 3321 W KENNEWICK AVE STE 150 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3321 W Kennewick Ave Ste 150

Kennewick, WA 993362968

Telephone 5097832085
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Kennewick, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
100 Specialists

Practicing in Kennewick, WA (2660 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG60817318

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Kyle Hulvey , MSW

Social Worker

NPI 1023584018

Master of Social Work

Edona Tahiraj

Counselor

NPI 1063053783
Anahi Garza

Counselor

NPI 1063079101
Zelena Alto

Counselor

NPI 1073086468
Jose Guzman

Counselor

NPI 1073089777
Diana Rangel

Counselor

NPI 1083256218

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location August 29, 2019

Registered at 3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 993362968 (Tel: 5097832085)

📍
Updated Business Mailing Address August 29, 2019

Registered at 3321 W KENNEWICK AVE STE 150, KENNEWICK, WA 993362968 (Tel: 5097356446)

NPI Profile Active October 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location October 31, 2018

Registered at 5901 N LIDGERWOOD ST STE 115, SPOKANE, WA 992081122 (Tel: 5098384651)

📍
Updated Business Mailing Address October 31, 2018

Registered at 107 S DIVISION ST, SPOKANE, WA 992021510 (Tel: 5098384651)

👤
Provider Name / Credentials Updated October 31, 2018

Recorded as MARCEL ETTESVOLD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 31, 2018

Peer Specialist (License #CG60817318 in WA)

🟢
Initial NPI Registration & Enumeration October 31, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1669949368
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 31, 2018
Last Update: August 29, 2019
Sole Proprietor: Yes

Mailing Address

3321 W Kennewick Ave Ste 150

Kennewick, WA 993362968

Phone: 5097356446

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.