Unknown Individual – Family Medicine Physician, NPI 1083657282
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
201 Alpha Way
Cle Elum, WA 989221045
Phone: (509) 674-5331
Fax: (509) 674-5034
Type: Location
501, South 5th Avenue, Yakima, Yakima County, Washington, 98902, United States
YAKIMA, WA 989023550
Phone: (509) 494-6700
Fax: (509) 573-6275
Type: Mailing
East Mountain View Avenue, Ellensburg, Kittitas County, Washington, 98926, United States
ELLENSBURG, WA 989263865
Phone: (509) 962-1414
Fax: (509) 962-1408
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 98922)
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