Unknown Individual – Family Medicine Physician, NPI 1780604413
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
222, Northeast Park Plaza Drive, Mill Plain One, Evergreen, Vancouver, Clark County, Washington, 98684, United States
SIUTE 100
VANCOUVER, WA 986845895
Phone: (360) 254-8025
Fax: (360) 254-8618
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)
CMS reports 74 Open Payments records for all available years, with a total value of $1,758.
Total Amount is formed as General ($1,758) + Research ($0) + Ownership ($0) = $1,758.
Last reported payment date: 2024-03-07 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($492).
Total Amount
$1,758
General + Research + Ownership
Payments
74
Total payment records
General Amount
$1,758
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-07
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $492 |
| Lilly USA, LLC | $258 |
| ABBVIE INC. | $251 |
| Novo Nordisk Inc | $141 |
| E.R. Squibb & Sons, L.L.C. | $121 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 38 | 22 | $0 |
Insurance plans in this area (ZIP 98684)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OR | |
| - | WA | |
| - | WA |
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