Unknown Individual – Naturopath, NPI 1366774648

Naturopath

Unknown Individual is a healthcare provider. based in Gig harbor, Washington. specializing in Naturopath. They hold a License No. CH00000815 (WA). The NPI Number for Unknown Individual is 1366774648

Main info

Organization

Inactive

57 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1366774648

Phone

(253) 853-8853

Address

6712 KIMBALL DR.,

Deactivation Date

8 November 2024

Doctor Profile

Medical School Name

NATIONAL COLLEGE OF CHIROPRACTIC

Secondary Phone

2538538853

Graduation Year

1969 (57 years ago)

PAC ID

8527229251

Group Practice PAC ID

4284895913

Professional Enrollment ID

I20120405000525

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience31

Completeness75

Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

Mosaic Real Estate, 6712, Kimball Drive, Harbor Heights, Gig Harbor, Pierce County, Washington, 98335, United States
#100
GIG HARBOR, WA 983351220
Phone: (253) 853-8853
Fax: (253) 853-8855
Mailing address matches the actual address.

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 98335)

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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: 4284895913View full group profile