Unknown Individual – Psychologist, NPI 1053520866

Unknown Individual is a healthcare provider. based in West linn, Oregon. specializing in Psychologist. They hold a License No. 1774 (OR). The NPI Number for Unknown Individual is 1053520866

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053520866
Phone
(503) 636-1767
Address
20010 MARIGOLD CT
Deactivation Date
11 November 2023
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

  • 20010, Marigold Court, Linnwood Heights, Bolton, Rosemont, West Linn, Clackamas County, Oregon, 97068, United States

    33

    WEST LINN, OR 970682376

    Phone: (503) 636-1767

    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.

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.

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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 97068)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1053520866 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes West Linn, Oregon for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1053520866. Always confirm identity and privileges with the practice and licensing boards.

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