Unknown Individual – Gastroenterology Physician, NPI 1790787513

Unknown Individual is a healthcare provider. based in Spokane, Washington. specializing in Gastroenterology Physician. They hold a License No. MD00040321 (WA). The NPI Number for Unknown Individual is 1790787513

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790787513
Phone
(509) 838-2531
Address
PO BOX 3649
Deactivation Date
5 December 2022
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 3649

    SPOKANE, WA 992203649

    Phone: (509) 838-2531

    Type: Mailing

  • East 5th Avenue, East Central, Spokane, Spokane County, Washington, 99202, United States

    SPOKANE, WA 992021334

    Phone: (509) 838-2531

    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

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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 ·

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 99220)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1790787513.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Washington?
You will see Spokane, Washington on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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