Unknown Individual – Specialist, NPI 1396894804
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
MDJ Realty, 1110, Stevenson Avenue, Enumclaw, King County, Washington, 98022, United States
ENUMCLAW, WA 980222647
Phone: (360) 825-7411
Fax: (360) 825-7434
Type: Location
1428, Loraine Street, Enumclaw, King County, Washington, 98022, United States
ENUMCLAW, WA 980222237
Phone: (360) 825-0295
Fax: (360) 825-7434
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
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98022)
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