Unknown Individual – Specialist, NPI 1578649463

Unknown Individual is a healthcare provider. based in Port angeles, Washington. specializing in Specialist. They hold a License No. MA00009555 (WA). The NPI Number for Unknown Individual is 1578649463

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1578649463
Phone
(360) 452-1715
Address
601 S RACE ST STE B
Deactivation Date
22 June 2021
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

Provider Addresses for Unknown Individual

  • 601 S RACE ST STE B

    PORT ANGELES, WA 983626400

    Phone: (360) 452-1715

    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 98362)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1578649463.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Other Service Providers. 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.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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