Unknown Individual – Durable Medical Equipment & Medical Supplies, NPI 1104019504

Unknown Individual is a healthcare provider. based in Everett, Washington. specializing in Durable Medical Equipment & Medical Supplies. The NPI Number for Unknown Individual is 1104019504

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104019504
Phone
(425) 338-3640
Address
9009 27TH AVE SE
Deactivation Date
19 April 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 27th Avenue Southeast, Everett, Snohomish County, Washington, 98208, United States

    EVERETT, WA 982083602

    Phone: (425) 338-3640

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98208)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1104019504.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Durable Medical Equipment & Medical Supplies. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Everett, Washington may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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