Unknown Individual – Dermatology Physician, NPI 1790932903
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1708, East 44th Street, Salishan, Tacoma, Pierce County, Washington, 98404, United States
COMMUNITY HEALTH CARE
TACOMA, WA 984044611
Phone: (253) 597-4550
Fax: (253) 722-1546
Type: Location
Pacific Avenue, Tacoma, Pierce County, Washington, 98418-7826, United States
COMMUNITY HEALTH CARE
TACOMA, WA 984024488
Phone: (253) 722-1540
Fax: (253) 722-1546
Type: Mailing
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
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98404)
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