Unknown Individual – Urology Physician, NPI 1457494940

Unknown Individual is a healthcare provider. based in Port angeles, Washington. specializing in Urology Physician. They hold a License No. 01064504A (IN). The NPI Number for Unknown Individual is 1457494940

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457494940
Phone
(360) 452-9083
Address
PO BOX 2497
Deactivation Date
15 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 2497

    PORT ANGELES, WA 983620318

    Phone: (360) 452-9083

    Type: Mailing

  • 326 E FRONT ST

    PORT ANGELES, WA 983623137

    Phone: (360) 452-9083

    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.

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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 ·

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 98362)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1457494940 — the number used across U.S. healthcare to identify this provider.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Urology Physician. Clinical services aligned with this taxonomy classification.
Where in Washington is Unknown Individual registered?
Use Port Angeles, 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.