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Deactivated NPI 1780838458 Deactivated / Inactive NPI Male Practitioner

Edward S Tucker , LMP

Specialist • Friday Harbor, WA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Edward Tucker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 07, 2008
NPI Deactivation Date October 16, 2025
Total Practice Duration ~17 Years of Practice (2008 – 2025)

Professional Overview & Biography Verified Profile Summary

Edward Tucker, LMP was a registered Specialist practicing in Friday Harbor, WA. Throughout an active medical career spanning 17 years, Edward Tucker provided care at the practice location at 6285 ROCHE HARBOR RD until profile deactivation on 2025-10-16.

Practice Location & Contact Primary Location

Practice Address

6285 Roche Harbor Rd

Friday Harbor, WA 982506951

Telephone 3603788742

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Friday Harbor, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
7 Specialists

Practicing in Friday Harbor, WA (2751 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License WA MA00011145

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 16, 2025

Record deactivated on October 16, 2025

NPI Profile Active November 07, 2008

NPI status registered as active in NPPES database

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Updated Practice Location November 07, 2008

Registered at 6285 ROCHE HARBOR RD, FRIDAY HARBOR, WA 982506951 (Tel: 3603788742)

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Updated Business Mailing Address November 07, 2008

Registered at 6312 ROCHE HARBOR RD, UNIT E, FRIDAY HARBOR, WA 982506754 (Tel: 3603788742)

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Provider Name / Credentials Updated November 07, 2008

Recorded as EDWARD TUCKER, LMP

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 07, 2008

Specialist (License #MA00011145 in WA)

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Initial NPI Registration & Enumeration November 07, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780838458
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 07, 2008
Last Update: November 07, 2008
Deactivation Date: October 16, 2025

Mailing Address

6312 Roche Harbor Rd, Unit E

Friday Harbor, WA 982506754

Phone: 3603788742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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