Unknown Individual – Psychiatric/Mental Health Nurse Practitioner, NPI 1730437898

Psychiatric/Mental Health Nurse Practitioner

Unknown Individual is a healthcare provider. based in La grande, Oregon. specializing in Psychiatric/Mental Health Nurse Practitioner. They hold a License No. 201242367RN (OR). The NPI Number for Unknown Individual is 1730437898

Main info

Organization

Inactive

9 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1730437898

Phone

(541) 962-8800

Address

2301 COVE AVE

Deactivation Date

28 January 2022

Doctor Profile

Medical School Name

OTHER

Secondary Phone

5419620162

Graduation Year

2017 (9 years ago)

PAC ID

9638425911

Group Practice PAC ID

0648267906

Professional Enrollment ID

I20180628001115

Data current as of

20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience23

Completeness75

Years active:0State licenses:2Digital endpointsOther names

Provider Addresses for Unknown Individual

2301 COVE AVE
LA GRANDE, OR 978503906
Phone: (541) 962-8800
Fax: (541) 963-5272
Type: Mailing
1101 I AVE
LA GRANDE, OR 97850
Phone: (541) 962-0162
Fax: (541) 962-0119
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 97850)

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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: 0648267906View full group profile

Name	Specialty	State
MRS. PATRICE M BARRETO (LCSW)	-	OR
DR. CONSTANCE UMPHRED (PH.D)	-	OR

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?

NPI numbers are unique to each provider or organization — Unknown Individual uses 1730437898.

Is Unknown Individual excluded from programs when inactive?

The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.

What is Unknown Individual's primary classification?

Psychiatric/Mental Health Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.

Where should I expect Unknown Individual on a map?

Expect La Grande, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.

Is specialty guaranteed by NPI alone?

Taxonomy selections describe intent; scope of practice still follows state law.