Unknown Individual – Family Medicine Physician, NPI 1891777397
Family Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 25608
SALT LAKE CITY, UT 841250608
Phone: (206) 320-4476
Fax: (206) 568-7043
Type: Mailing
Swedish Hospital, 18100, Northeast Union Hill Road, Redmond, King County, Washington, 98052, United States
SUITE 200
REDMOND, WA 980523330
Phone: (206) 320-5190
Fax: (206) 320-5191
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 84125)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | WA | 90670 | Pneumococcal vaccine for injection into muscle | 14 | 14 |
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