Unknown Individual – Family Medicine Physician, NPI 1154323525
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
450 SO. KITSAP BLVD.
SUITE 100
PORT ORCHARD, WA 98366
Phone: (360) 744-6275
Fax: (360) 744-6188
Type: Location
St. Michael Medical Center Bremerton, 2520, Cherry Avenue, Bremerton, Kitsap County, Washington, 98310, United States
HARRISON MEDICAL CENTER
BREMERTON, WA 98310
Phone: (360) 792-6610
Fax: (360) 744-6188
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
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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 98366)
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