Unknown Individual – Family Medicine Physician, NPI 1396753950
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Maple Street Clinic, 1825, Maple Street, Forest Grove, Metro, Washington County, Oregon, 97116, United States
FOREST GROVE, OR 971161939
Phone: (503) 357-2136
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)
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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 97116)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | OR | 81002 | Urinalysis, manual test | 16 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Sleep Medicine | NC | |
| P A T H O L O G Y | OR | |
| Nurse Practitioner | OR | |
| Internal Medicine | NY | |
| Family Practice | OR | |
| Internal Medicine | NJ | |
| Emergency Medicine | CA | |
| Cardiovascular Disease (Cardiology) | OR | |
| Diagnostic Radiology | OR | |
| O B S T E T R I C S/ G Y N E C O L O G Y | OR |
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