Unknown Individual – Internal Medicine Physician, NPI 1609823491
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Home Depot Kitchen & Bathroom Refacing, 3600, Lind Avenue Southwest, Renton, King County, Washington, 98055, United States
STE 100
RENTON, WA 980574934
Phone: (425) 656-5412
Fax: (425) 656-4079
Type: Mailing
Valley Medical Center, 7203, 129th Avenue Southeast, Olympus, Newport Hills, Newcastle, King County, Washington, 98056, United States
STE 100
NEWCASTLE, WA 980561412
Phone: (425) 656-5428
Fax: (425) 656-5427
Type: Location
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
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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 98057)
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