Unknown Individual – Physician Assistant, NPI 1063523298

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Physician Assistant. They hold a License No. WA PA10003630 (WA). The NPI Number for Unknown Individual is 1063523298

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063523298
Phone
(503) 571-3652
Address
9800 SE SUNNYSIDE RD
Deactivation Date
16 May 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Mount Scott Medical Office, 9800, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    CLACKAMAS, OR 970159750

    Phone: (503) 571-3652

    Type: Location

  • 1796, Britton Street, Willamette, West Linn, Clackamas County, Oregon, 97068, United States

    WEST LINN, OR 970684414

    Phone: (503) 650-1053

    Type: Mailing

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 97015)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1063523298 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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Clackamas, Oregon for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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