Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN KOOISTRA
ActiveJUSTIN KOOISTRA is a Social Worker healthcare provider located in BURLINGTON, Washington. NPI 1730602970 is currently active in the NPPES registry. Verify at CMS.
Social Worker · BURLINGTON, WA
Registration Details
- NPI Number
- 1730602970
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2017 (9.0466946051762 yrs)
- Last Updated
- Apr 3, 2025
- License
-
SC61454368 (WA)
Practice Information
- Address
-
725 E FAIRHAVEN AVEBURLINGTON, WA, 982331914Browse WA providers · Browse ZIP 98233
- Phone
- 3608563054
- Fax
- 3608563065
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
- Additional Specialty
- Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.