NPIMap

Individual provider Active NPI

Tina Marina Passalaris, M.D.

  • Medical Oncology Physician
  • Sequim, WA
National Provider Identifier
1508951864
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
MD00032741 Issued in WA
Practice address
844 N 5TH Ave
Sequim, WA 98382-3045
Phone
(360) 683-9895
Fax
(360) 582-2820
NPI assigned
Oct 4, 2006
Last updated
Mar 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X MD00032741 WA Primary

Addresses

Primary practice location

844 N 5TH Ave
Sequim, WA 98382-3045

Mailing address

844 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-9895

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpassalaris188772@samhealth.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050119000290 WA Practitioner - Medical OncologyPractitioner - Internal Medicine 2961451711 Reassigns benefits to 4 organizations
I20070827000753 OR Practitioner - Medical OncologyPractitioner - Internal Medicine 2961451711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Internal Medicine
Education
New York University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 0244138196, 1,038 clinicians
Optum Care Washington PLLCGroup PAC ID 6406752153, 684 clinicians
Olympic Medical PhysiciansGroup PAC ID 9537172358, 106 clinicians

Practice addresses (Care Compare)

1221 Madison St
Suite 1020
Seattle, WA 98104-1380
Phone (206) 215-2658

1330 Rockefeller Ave
Everett, WA 98201-1684
Phone (425) 259-0966

3901 Hoyt Ave
Everett, WA 98201-4918
Phone (425) 339-5442

3927 Rucker Ave
Everett, WA 98201-4833
Phone (425) 259-0966

844 N 5TH Ave
Sequim, WA 98382-3045
Phone (360) 683-9895

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD00032741WAMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sky Lakes Medical Center Inc CurrentSince Jan 9, 2018 Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 6, 2025 Accepting new patients
Olympic Medical Physicians CurrentSince Mar 23, 2026 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jan 9, 2018 Accepting new patients
Swedish Health Services Medical Oncology CurrentSince Jun 3, 2022 Accepting new patients
Samaritan Pacific Health Services, Inc Current Accepting new patients
Optum Care Washington PLLC CurrentSince Dec 6, 2025 Accepting new patients
The Polyclinic PLLC CurrentSince Jan 1, 2026 Accepting new patients
Optum Care Washington PLLC Past Accepting new patients
Rainier Oncology Professional Services Past Accepting new patients
The Polyclinic PLLC Past Accepting new patients
Good Samaritan Hospital Corvallis PastSince Nov 8, 2020 Accepting new patients

Locations

2610 Uhrmann Rd
Klamath Falls, OR 97601
Phone (541) 274-4171

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244

7320 216th St SW
Ste 310
Edmonds, WA 98026
Phone (425) 673-3800

1330 Rockefeller Ave
Everett, WA 98201
Phone (425) 258-3903

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

1145 Broadway
Seattle, WA 98122

1221 Madison St
Ste 1020
Seattle, WA 98104
Phone (206) 215-2658

1959 NE Pacific St
Seattle, WA 98195
Phone (206) 598-4333

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

9709 3rd Ave NE
Seattle, WA 98115
Phone (206) 525-5777

844 N 5th Ave
Sequim, WA 98382
Phone (360) 683-9895

1201 N 175th St
Shoreline, WA 98133
Phone (425) 339-4299

1812 S J St
Ste 102
Tacoma, WA 98405
Phone (253) 552-4900

Interoperability endpoints

  • Direct secure messaging: tina.passalaris@katmai.ikm.direct-ci.com
  • Direct secure messaging: tpassalaris188772@samhealth.direct-ci.com

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1508951864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-683-9895",
            "fax_number": "360-582-2820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N 5TH AVE",
            "city": "SEQUIM",
            "state": "WA",
            "postal_code": "983823045",
            "telephone_number": "360-683-9895",
            "fax_number": "360-582-2820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSALARIS",
        "first_name": "TINA",
        "middle_name": "MARINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "WA",
            "license": "MD00032741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpassalaris188772@samhealth.direct-ci.com",
            "affiliation": "N",
            "address_1": "501 NW Elks Dr Ste 100",
            "city": "Corvallis",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973303757",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sequim, WA

Sources for this page

Verify at the official NPI Registry.