Unknown Individual – Home Health Agency, NPI 1104218387

Unknown Individual is a healthcare provider. based in Wilsonville, Oregon. specializing in Home Health Agency. The NPI Number for Unknown Individual is 1104218387

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104218387
Phone
Not provided
Address
25117 SW PARKWAY AVE
Deactivation Date
22 January 2025
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 25117 SW PARKWAY AVE

    SUITE F

    WILSONVILLE, OR 970709697

    Phone:

    Type: Mailing

  • 12272 S 800 E

    SUITE B

    DRAPER, UT 840209789

    Phone: (801) 495-3090

    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.

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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 97070)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1104218387 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Home Health Agency. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Wilsonville?
Public fields place Unknown Individual around Wilsonville, Oregon. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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