Unknown Individual – Psychiatric/Mental Health Registered Nurse, NPI 1063658821

Unknown Individual is a healthcare provider. based in Hillsboro, Oregon. specializing in Psychiatric/Mental Health Registered Nurse. They hold a License No. 0095000314 (OR). The NPI Number for Unknown Individual is 1063658821

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1063658821
Phone
Not provided
Address
19400 SW FINNIGAN HILL RD
Deactivation Date
9 October 2025
Data current as of
20 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

  • 19400 SW FINNIGAN HILL RD

    HILLSBORO, OR 971238673

    Phone:

    Type: Mailing

  • Northeast Evans Street, McMinnville, Yamhill County, Oregon, 97128, United States

    MCMINNVILLE, OR 971283923

    Phone: (503) 434-7523

    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 97123)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1063658821?
NPI 1063658821 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Psychiatric/Mental Health Registered Nurse in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Hillsboro?
Public fields place Unknown Individual around Hillsboro, Oregon. Always confirm the exact site before visiting.
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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