Unknown Individual – Diagnostic Radiology Physician, NPI 1710981634

Unknown Individual is a healthcare provider. based in Vancouver, Washington. specializing in Diagnostic Radiology Physician. They hold a License No. MD00039413 (WA). The NPI Number for Unknown Individual is 1710981634

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710981634
Phone
(360) 254-4914
Address
4816A NE THURSTON WAY
Deactivation Date
22 February 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4816A NE THURSTON WAY

    VANCOUVER, WA 98662

    Phone: (360) 254-4914

    Fax: (360) 449-4961

    Type: Location

  • Northeast 66th Avenue, Burton Homes, Vancouver, Clark County, Washington, 98662-6624, United States

    SUITE 104

    VANCOUVER, WA 98661

    Phone: (360) 254-4914

    Fax: (360) 449-4961

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 98662)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYWA71250CT scan chest1111
DIAGNOSTIC RADIOLOGYWA74177CT scan of abdomen and pelvis with contrast157150
DIAGNOSTIC RADIOLOGYWA76830Ultrasound pelvis through vagina1514
DIAGNOSTIC RADIOLOGYWA93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers6059

Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1710981634 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Vancouver?
Unknown Individual currently maps to Vancouver, Washington in this extract.
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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