Unknown Individual – Orthopedic Chiropractor, NPI 1679579270

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Orthopedic Chiropractor. They hold a License No. 27-2564 (OR). The NPI Number for Unknown Individual is 1679579270

Main info

Organization
Inactive
37 Years Of Experience
Name
Unknown Individual
NPI
1679579270
Phone
(503) 653-9697
Address
8800 SE SUNNYSIDE RD
Deactivation Date
23 April 2026

Doctor Profile

Medical School Name
WESTERN STATES COLLEGE OF CHIROPRACTIC
Secondary Phone
503659007319
Graduation Year
1989 (37 years ago)
PAC ID
2769639277
Group Practice PAC ID
2062586084
Professional Enrollment ID
I20120905000484
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

  • Metabolic Research Center, 8800, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    STE 214N

    CLACKAMAS, OR 970155703

    Phone: (503) 653-9697

    Fax: (503) 653-9691

    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)

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 97015)

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Provider's Procedures

Unknown Individual performs procedures in Orthopedic Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICOR98940Chiropractic manipulative treatment, 1-2 spinal regions17122

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: 2062586084View full group profile
NameSpecialtyState
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I COR
C H I R O P R A C T I CLA
C H I R O P R A C T I COR
C H I R O P R A C T I COR

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1679579270?
NPI 1679579270 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Orthopedic Chiropractor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Clackamas?
Public fields place Unknown Individual around Clackamas, Oregon. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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