Unknown Individual – Aerospace Medicine Physician, NPI 1174609341

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Aerospace Medicine Physician. They hold a License No. 09223 (WA). The NPI Number for Unknown Individual is 1174609341

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174609341
Phone
(253) 279-8523
Address
4209 N MASON
Deactivation Date
20 September 2022
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

  • Tacoma Power, North Powerhouse Road, Potlatch, Mason County, Washington, 98548, United States

    TACOMA, WA 98407

    Phone: (253) 279-8523

    Fax: (253) 879-1092

    Type: Mailing

  • MultiCare Allenmore Hospital, 1901, South Union Avenue, Central Tacoma, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 98405

    Phone: (253) 572-0370

    Fax: (253) 572-4608

    Type: Location

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 98407)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1174609341 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Aerospace Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use Tacoma, Washington as the headline location for Unknown Individual here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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