Unknown Individual – Psychiatry Physician, NPI 1639161680

Unknown Individual is a healthcare provider. based in Port townsend, Washington. specializing in Psychiatry Physician. They hold a License No. MD60257692 (WA). The NPI Number for Unknown Individual is 1639161680

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639161680
Phone
(360) 385-0321
Address
PO BOX 565
Deactivation Date
4 January 2023
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

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Provider Addresses for Unknown Individual

  • PO BOX 565

    884 WEST PARK AVENUE

    PORT TOWNSEND, WA 983680565

    Phone: (360) 385-0321

    Fax: (360) 379-5534

    Type: Mailing

  • 884, West Park Avenue, Business Park, Port Townsend, Jefferson County, Washington, 98368, United States

    PORT TOWNSEND, WA 983680565

    Phone: (360) 385-0321

    Fax: (360) 379-5534

    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 98368)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1639161680 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Port Townsend, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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