Unknown Individual – Acute Care Nurse Practitioner, NPI 1518962067

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Acute Care Nurse Practitioner. They hold a License No. AP60087614 (WA). The NPI Number for Unknown Individual is 1518962067

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1518962067
Phone
(503) 494-4373
Address
3303 SW BOND AVENUE
Deactivation Date
24 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5034948311
Graduation Year
1985 (41 years ago)
PAC ID
6305030842
Group Practice PAC ID
4880760107
Professional Enrollment ID
I20101028001451
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • OHSU Center For Health And Healing, 3303, Southwest Bond Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97239, United States

    MAIL CODE CH6D

    PORTLAND, OR 97239

    Phone: (503) 494-4373

    Fax: (503) 418-2683

    Mailing address matches the actual address.

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 97239)

Loading plans...

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: 4880760107View full group profile

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.

Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1518962067 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Portland, Oregon on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MS. DAWN F. TILGNER (ACNP, FNP)

Acute Care Nurse Practitioner
OHSU Center For Health And Healing, 3303, Southwest Bond Avenue, South Portland, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1639174287

REBECCA STORMENT GARCIA (NP)

Acute Care Nurse Practitioner
Baird Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1790756583

ANNA KATHLEEN GRIMM (NP)

Acute Care Nurse Practitioner
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1033151139

LEAH WESTERDAHL GAEDEKE (MSN, FNP-C)

Family Nurse Practitioner
12672 NW Barnes Rd. Suite 100
NPI: 1336185677

NICOLE M KIRKER (NP)

Acute Care Nurse Practitioner
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1780611988

DR. SHARON A KUBIK (DNP, ACNP-BC, CCRN)

Acute Care Nurse Practitioner
390 Main St
NPI: 1033138946
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1609881101
Richard T. Jones Hall, 3181, Southwest Sam Jackson Park Road, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States
NPI: 1831104348