Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Miranda R. Gustafson

Individual provider Peer Specialist · NPI 1811749542

Miranda R. Gustafson is a Peer Specialist in Everett, Washington. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

4526 Federal Ave Bldg 1
Everett, WA 98203-2132
Phone: (425) 349-6200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1811749542
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2024
Last updated in NPPESApril 4, 2024
Certification dateApril 4, 2024
Mailing address4526 Federal Ave Bldg 1, Everett, WA 98203-2132

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