Unknown Individual – Specialist, NPI 1689636409

Unknown Individual is a healthcare provider. based in Tacoma, Washington. specializing in Specialist. They hold a License No. WA12190 (WA). The NPI Number for Unknown Individual is 1689636409

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1689636409
Phone
(253) 403-1019
Address
315 MARTIN LUTHER KING JR WAY
Deactivation Date
14 August 2025
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

  • MultiCare Tacoma General Hospital, 315, Martin Luther King Jr Way, Tacoma, Pierce County, Washington, 98403, United States

    A2-NTL

    TACOMA, WA 984054234

    Phone: (253) 403-1019

    Type: Location

  • East Gig Harbor Heliport, 8702, Goodman Drive Northwest, Gig Harbor, Pierce County, Washington, 98332, United States

    GIG HARBOR, WA 983329513

    Phone: (253) 858-5891

    Type: Mailing

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 98405)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1689636409 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Other Service Providers is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Tacoma, Washington in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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