Unknown Individual – Specialist, NPI 1104821511

Unknown Individual is a healthcare provider. based in Burien, Washington. specializing in Specialist. They hold a License No. MD00014015 (WA). The NPI Number for Unknown Individual is 1104821511

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104821511
Phone
(206) 248-5020
Address
16110 8TH AVE SW
Deactivation Date
22 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Highline Medical Park, 16110, 8th Avenue Southwest, Burien, King County, Washington, 98166, United States

    STE B1

    BURIEN, WA 981662963

    Phone: (206) 248-5020

    Fax: (206) 244-8425

    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.

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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 98166)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1104821511; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Other Service Providers. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Burien, Washington for Unknown Individual; expand the address list for detail.
What if Burien, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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