Unknown Individual – Family Medicine Physician, NPI 1407248669

Unknown Individual is a healthcare provider. based in North bend, Washington. specializing in Family Medicine Physician. They hold a License No. 05290 (WA). The NPI Number for Unknown Individual is 1407248669

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407248669
Phone
(425) 765-0997
Address
908 BORST AVE NE
Deactivation Date
2 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 908 BORST AVE NE

    NORTH BEND, WA 980459169

    Phone: (425) 765-0997

    Fax: (425) 292-9549

    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 98045)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1407248669 is assigned to Unknown Individual under the national enumeration system.
Is Unknown Individual's inactive status permanent?
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 Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display North Bend, Washington because that is what the record indicates for Unknown Individual.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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