Unknown Individual – Internal Medicine Physician, NPI 1164466256
Internal Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
Santiam Highway, Lebanon, Linn County, Oregon, 97355, United States
LEBANON, OR 973554361
Phone: (541) 451-7800
Fax: (541) 451-7808
Type: Mailing
PO BOX 1193
CORVALLIS, OR 973391193
Phone:
Type: Mailing
325 PARK ST
LEBANON, OR 973554229
Phone: (541) 451-7200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 97355)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | OR | |
| Nurse Practitioner | OR | |
| Hospitalist, Internal Medicine | OR | |
| - | OR | |
| Physician Assistant | OR | |
| Family Practice | OR | |
| Clinical Psychologist | OR | |
| - | OR | |
| Internal Medicine | OR | |
| - | OR |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.