Unknown Individual – Emergency Medicine Physician, NPI 1689647927

Unknown Individual is a healthcare provider. based in Eugene, Oregon. specializing in Emergency Medicine Physician. They hold a License No. MD13351 (OR). The NPI Number for Unknown Individual is 1689647927

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689647927
Phone
(541) 500-2500
Address
1292 HIGH ST STE 224
Deactivation Date
15 November 2024

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
5416363473
Graduation Year
1980 (46 years ago)
PAC ID
6709778079
Group Practice PAC ID
1355406729
Professional Enrollment ID
I20100304000655
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

  • 224, High Street, Eugene, Lane County, Oregon, 97401, United States

    EUGENE, OR 974013238

    Phone: (541) 500-2500

    Type: Mailing

  • 1740, Northwest Goetz Street, Roseburg, Douglas County, Oregon, 97471, United States

    ROSEBURG, OR 974711613

    Phone: (541) 640-7625

    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 97401)

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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: 1355406729View full group profile

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1689647927 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Eugene, Oregon because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1689647927. Always confirm identity and privileges with the practice and licensing boards.

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