Unknown Individual – Internal Medicine Physician, NPI 1437163474

Unknown Individual is a healthcare provider. based in White city, Oregon. specializing in Internal Medicine Physician. They hold a License No. MD15528 (OR). The NPI Number for Unknown Individual is 1437163474

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437163474
Phone
(541) 826-5853
Address
8385 DIVISION RD
Deactivation Date
28 January 2022

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5418265853
Graduation Year
1976 (50 years ago)
PAC ID
7214177047
Group Practice PAC ID
1557266236
Professional Enrollment ID
I20130628000099
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 8385, Division Road, White City, Jackson County, Oregon, 97503, United States

    WHITE CITY, OR 975031176

    Phone: (541) 826-5853

    Fax: (541) 826-5843

    Type: Mailing

  • 19, Myrtle Street, Wellington, Medford, Middlesex County, Massachusetts, 02148, United States

    MEDFORD, OR 975047337

    Phone: (541) 842-7626

    Fax: (541) 842-7640

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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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 97503)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557266236View full group profile
NameSpecialtyState
Family PracticeOR
Family PracticeOR
Mental Health CounselorOR
Family PracticeOR
Registered Dietitian Or Nutrition ProfessionalOR
Nurse PractitionerOR
Family PracticeOR
Osteopathic Manipulative MedicineOR
-VA
Mental Health CounselorOR

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1437163474 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists White City, Oregon for Unknown Individual; download NPPES for the complete set.
What if White City, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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