Unknown Individual – Obstetrics & Gynecology Physician, NPI 1891771077

Unknown Individual is a healthcare provider. based in Edmonds, Washington. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD0008401 (WA). The NPI Number for Unknown Individual is 1891771077

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891771077
Phone
(425) 640-4810
Address
21616 76TH AVE W
Deactivation Date
1 November 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

  • Edmonds Medical Plaza, 21616, 76th Avenue West, Perrinville, Edmonds, Snohomish County, Washington, 98026, United States

    #205

    EDMONDS, WA 980267512

    Phone: (425) 640-4810

    Fax: (425) 640-4998

    Mailing address matches the actual address.

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 98026)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1891771077?
NPI 1891771077 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Edmonds, Washington.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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