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

Peter Maxim Ustyugov

Individual provider Peer Specialist · NPI 1245117332

Peter Maxim Ustyugov is a Peer Specialist in Lynnwood, Washington. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

19730 64th Ave W
Lynnwood, WA 98036-5957
Phone: (206) 519-9717
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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 number1245117332
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 19, 2025
Last updated in NPPESAugust 19, 2025
Certification dateAugust 19, 2025
Mailing address517 Lake Washington Blvd S, Seattle, WA 98144-2546

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