Unknown Individual – Family Medicine Physician, NPI 1033324264

Unknown Individual is a healthcare provider. based in Siletz, Oregon. specializing in Family Medicine Physician. They hold a License No. MD00013898 (WA). The NPI Number for Unknown Individual is 1033324264

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1033324264
Phone
(541) 444-1030
Address
PO BOX 320
Deactivation Date
16 October 2024
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

  • PO BOX 320

    SILETZ, OR 973800320

    Phone: (541) 444-1030

    Fax: (541) 444-9695

    Type: Mailing

  • Siletz Admin II Building, 107, Southeast Swan Avenue, Siletz, Lincoln County, Oregon, 97380, United States

    SILETZ, OR 97380

    Phone: (541) 444-1030

    Fax: (541) 444-9695

    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 97380)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1033324264 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Siletz, Oregon.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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