Unknown Individual – Neuromusculoskeletal Medicine & OMM Physician, NPI 1083649974

Unknown Individual is a healthcare provider. based in Ashland, Oregon. specializing in Neuromusculoskeletal Medicine & OMM Physician. They hold a License No. DO15171 (OR). The NPI Number for Unknown Individual is 1083649974

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083649974
Phone
(541) 482-8314
Address
153 CLEAR CREEK DR
Deactivation Date
2 April 2026
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

  • 153, Clear Creek Drive, Ashland, Jackson County, Oregon, 97520, United States

    SUITE 101

    ASHLAND, OR 975201897

    Phone: (541) 482-8314

    Fax: (541) 482-1739

    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.

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 97520)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1083649974.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Neuromusculoskeletal Medicine & OMM Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Ashland, Oregon in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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