Unknown Individual – Obstetrics & Gynecology Physician, NPI 1114196607

Unknown Individual is a healthcare provider. based in Astoria, Oregon. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD28072 (OR). The NPI Number for Unknown Individual is 1114196607

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114196607
Phone
(503) 338-7595
Address
550 22ND ST
Deactivation Date
12 February 2026
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

Loading map...

Provider Addresses for Unknown Individual

  • 550, 22nd Street, Uppertown, Astoria, Clatsop County, Oregon, 97103, United States

    ASTORIA, OR 971033312

    Phone: (503) 338-7595

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97103)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1114196607 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Obstetrics & Gynecology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Astoria, Oregon for Unknown Individual based on available NPPES addresses.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

Similar Providers

ROBERT PARK (MD)

Obstetrics & Gynecology Physician
2111 EXCHANGE ST
NPI: 1083617633

KIMBERLY SUE ELTZROTH (M.D.)

Obstetrics & Gynecology Physician
875, Oak Street Southeast, Salem, Marion County, Oregon, 97301, United States
NPI: 1548242282
550, 22nd Street, Astoria, Clatsop County, Oregon, 97103, United States
NPI: 1881702678

DR. ANDREA MICHELLE KELLER BLAZIC (D.O.)

Obstetrics & Gynecology Physician
340 NW 5TH ST
NPI: 1629236146
Columbia Memorial Hospital, 2111, Exchange Street, Uppertown, Astoria, Clatsop County, Oregon, 97103, United States
NPI: 1821254129

KELLIE WILSON EDWARDS (MD)

Obstetrics & Gynecology Physician
2111 EXCHANGE ST
NPI: 1356583942
2200, Exchange Street, Astoria, Clatsop County, Oregon, 97103, United States
NPI: 1588890164

DR. ALLISON AMBER SNYDER (M.D.)

Obstetrics & Gynecology Physician
2265 EXCHANGE ST
NPI: 1316263585

NATHAN FRANKLIN AMRINE (MD)

Obstetrics & Gynecology Physician
2111 Exchange St
NPI: 1821354424