Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1124123781

Unknown Individual is a healthcare provider. based in Milwaukie, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. OR 95-10-03 (OR). The NPI Number for Unknown Individual is 1124123781

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124123781
Phone
Not provided
Address
13920 SE FAIROAKS AVE
Deactivation Date
22 January 2021
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

  • 13920 SE FAIROAKS AVE

    MILWAUKIE, OR 972671084

    Phone:

    Type: Mailing

  • Northeast Evergreen Parkway, Tanasbourne, Hillsboro, Metro, Washington County, Oregon, 97006, United States

    HILLSBORO, OR 971247031

    Phone: (503) 617-2308

    Fax: (503) 617-2333

    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.

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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 97267)

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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 1124123781 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Milwaukie, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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