Unknown Individual – Orthodontics and Dentofacial Orthopedics Dentistry, NPI 1003032483

Unknown Individual is a healthcare provider. based in Beaverton, Oregon. specializing in Orthodontics and Dentofacial Orthopedics Dentistry. They hold a License No. D6564 (OR). The NPI Number for Unknown Individual is 1003032483

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003032483
Phone
(503) 579-2495
Address
14780 SW OSPREY DR
Deactivation Date
27 November 2025
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

Provider Addresses for Unknown Individual

  • 14780 SW OSPREY DR

    SUITE 345

    BEAVERTON, OR 970078028

    Phone: (503) 579-2495

    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.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 97007)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1003032483.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Orthodontics and Dentofacial Orthopedics Dentistry for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Beaverton, Oregon?
If you are local to Beaverton, Oregon, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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