Unknown Individual – Procedural Dermatology Physician, NPI 1114915691
Procedural Dermatology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3623, Southwest Alaska Street, West Seattle, Seattle, King County, Washington, 98126, United States
SEATTLE, WA 98126
Phone: (206) 932-3884
Fax: (206) 935-1425
Type: Location
3272, 36th Avenue Southwest, West Seattle, Seattle, King County, Washington, 98126, United States
SEATTLE, WA 98126
Phone: (206) 932-3884
Fax: (206) 935-1425
Type: Mailing
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 98126)
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