Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1750328407

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Certified Registered Nurse Anesthetist. They hold a License No. N24858 (ID). The NPI Number for Unknown Individual is 1750328407

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1750328407
Phone
(503) 372-2740
Address
PO BOX 4268
Deactivation Date
25 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2083676416
Graduation Year
1995 (31 years ago)
PAC ID
0244422608
Group Practice PAC ID
8426960642
Professional Enrollment ID
I20101005000081
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 4268, Southeast Hillside Drive, Glen Echo, Portland, Metro, Clackamas County, Oregon, 97267, United States

    PORTLAND, OR 972084268

    Phone: (503) 372-2740

    Fax: (503) 372-2754

    Type: Mailing

  • Saint Alphonsus Regional Medical Center, 1055, North Curtis Road, Boise Junction, Boise, Ada County, Idaho, 83706, United States

    BOISE, ID 837061352

    Phone: (208) 367-6416

    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 97208)

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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: 8426960642View full group profile
NameSpecialtyState
KENNETH CLARK JR. STRATTON (CRNA)
-UT
KYLE SOMSEN
-UT
DONALD JAMES FOX (MD)
-OR
SHELLEY MARIE JACKS (MD)
-OR
KEVIN EUGENE KARTCHNER (MD)
-OR

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1750328407.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Portland, Oregon?
If you are local to Portland, Oregon, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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