Unknown Individual – Family Medicine Physician, NPI 1619053600
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
140, East Main Street, Othello, Adams County, Washington, 99344, United States
OTHELLO, WA 99344
Phone: (509) 488-5256
Fax: (509) 488-9939
Type: Mailing
475, North 14th Avenue, Othello, Adams County, Washington, 99344, United States
OTHELLO, WA 993441226
Phone: (509) 488-5256
Fax: (509) 488-9939
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 99344)
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