Unknown Individual – Anesthesiology Physician, NPI 1003820473

Unknown Individual is a healthcare provider. based in Seattle, Washington. specializing in Anesthesiology Physician. They hold a License No. MD14896 (OR). The NPI Number for Unknown Individual is 1003820473

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1003820473
Phone
(503) 299-9906
Address
PO BOX 35147
Deactivation Date
11 December 2025

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5032999906
Graduation Year
1985 (41 years ago)
PAC ID
3476741232
Group Practice PAC ID
3476451659
Professional Enrollment ID
I20101220001203
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 35147

    #1801

    SEATTLE, WA 981245147

    Phone: (503) 299-9906

    Fax: (503) 225-9002

    Type: Mailing

  • Union Bank Tower, 707, Southwest Washington Street, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97205, United States

    STE 700

    PORTLAND, OR 972053536

    Phone: (503) 299-9906

    Fax: (503) 225-9002

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98124)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476451659View full group profile
NameSpecialtyState
Anesthesiology, Critical Care (Intensivists)WA
-WA
A N E S T H E S I O L O G YWA
-OR
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
A N E S T H E S I O L O G YWA
-WA
-OR

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1003820473.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Seattle, Washington?
For routing, start with Seattle, Washington for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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