Unknown Individual – Family Medicine Physician, NPI 1467553560
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3360, Southwest 87th Avenue, Raleigh West, Portland, Metro, Washington County, Oregon, 97225, United States
PORTLAND, OR 972083360
Phone: (866) 366-2983
Type: Mailing
Bothell-Everett Highway, Murphys Corner, Mill Creek, Snohomish County, Washington, 98012, United States
STE 201
MILL CREEK, WA 980126345
Phone: (425) 316-9159
Fax: (425) 225-1011
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97208)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | WA | |
| - | WA | |
| - | WA | |
| - | OR | |
| - | WA | |
| - | WA | |
| - | WA | |
| - | WA | |
| Infectious Disease, Internal Medicine | WA | |
| Family Practice | OR |
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