Unknown Individual – Specialist, NPI 1073627717
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
14858, Lake Hills Boulevard, Robinswood, Bellevue, King County, Washington, 98007, United States
BELLEVUE, WA 980075821
Phone: (425) 644-2808
Fax: (425) 644-2682
Type: Location
4444, 191st Place Southeast, South Cove, Issaquah, King County, Washington, 98027, United States
ISSAQUAH, WA 980279709
Phone: (425) 641-1716
Fax: (425) 641-5661
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
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.
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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 98007)
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