Unknown Individual – Specialist, NPI 1902940091
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1008 BETHEL AVE STE A
PORT ORCHARD, WA 983664236
Phone: (360) 710-9395
Fax: (360) 895-1166
Type: Mailing
1008 BETHEL AVE
SUITE A
PORT ORCHARD, WA 983664236
Phone: (360) 710-9395
Fax: (360) 895-1166
Type: Location
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
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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 98366)
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