Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1730172008
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Oakesdale Avenue Southwest, Renton, King County, Washington, 98013, United States
RENTON, WA 980575227
Phone: (866) 259-1629
Fax: (855) 666-8541
Type: Mailing
316 W Boone Ave
Suite 757
Spokane, WA 992012354
Phone: (509) 868-0876
Fax: (509) 385-0670
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 98057)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OH | |
| - | MI | |
| - | OH | |
| - | WI | |
| Nurse Practitioner | KY | |
| Internal Medicine | MI | |
| Internal Medicine | MI | |
| Internal Medicine | WI | |
| - | VA | |
| - | MI |
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