Unknown Individual – Anesthesiology Physician, NPI 1114988979

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Anesthesiology Physician. They hold a License No. MD13340 (OR). The NPI Number for Unknown Individual is 1114988979

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114988979
Phone
(503) 297-7223
Address
5319 SW WESTGATE DR
Deactivation Date
21 June 2023
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

  • 5319, Southwest Westgate Drive, Sylvan, Sylvan-Highlands, Portland, Metro, Multnomah County, Oregon, 97221, United States

    241

    PORTLAND, OR 972212432

    Phone: (503) 297-7223

    Fax: (503) 297-7603

    Type: Mailing

  • Tuality Community Hospital, 335, Southeast 8th Avenue, Central Hillsboro, Hillsboro, Metro, Washington County, Oregon, 97123, United States

    HILLSBORO, OR 97123

    Phone: (503) 681-1111

    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 97221)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1114988979 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Anesthesiology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Portland, Oregon in the data we show; additional addresses may exist on the full record.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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