Unknown Individual – Internal Medicine Physician, NPI 1063461861
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Cornell Oaks Cafe, 15455, Northwest Greenbrier Parkway, Cornell Oaks Corporate Center, Five Oaks/Triple Creek, Beaverton, Metro, Washington County, Oregon, 97006, United States
SUITE 130
BEAVERTON, OR 970067374
Phone: (503) 629-5499
Fax: (503) 645-8982
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)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 97006)
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