Unknown Individual – Clinical Social Worker, NPI 1033109657

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Clinical Social Worker. They hold a License No. L1968 (OR). The NPI Number for Unknown Individual is 1033109657

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033109657
Phone
(503) 233-4356
Address
1500 NE IRVING ST STE 250
Deactivation Date
16 October 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

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Provider Addresses for Unknown Individual

  • Northeast Irving Street, Kerns, Portland, Metro, Multnomah County, Oregon, 97232, United States

    PORTLAND, OR 972322265

    Phone: (503) 233-4356

    Fax: (503) 736-9759

    Type: Mailing

  • 4790, North Lombard Street, University Park, Portland, Metro, Multnomah County, Oregon, 97203, United States

    PORTLAND, OR 972034565

    Phone: (503) 286-3032

    Fax: (503) 286-3871

    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 97232)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1033109657 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Social Worker. 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 Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1033109657. Always confirm identity and privileges with the practice and licensing boards.

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