Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1023103934

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. 12407 (OR). The NPI Number for Unknown Individual is 1023103934

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1023103934
Phone
(503) 238-7114
Address
2554 SW ARDEN RD
Deactivation Date
10 February 2022
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

  • 2554, Southwest Arden Road, Southwest Hills, Portland, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972011604

    Phone: (503) 238-7114

    Fax: (503) 238-6257

    Type: Mailing

  • Southeast Steele Street, Woodstock, Portland, Multnomah County, Oregon, 97286, United States

    PORTLAND, OR 972024525

    Phone: (503) 238-7114

    Fax: (503) 238-6257

    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.

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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 97201)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1023103934 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 does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Portland, Oregon for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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