Unknown Individual – Internal Medicine Physician, NPI 1144203654

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Internal Medicine Physician. They hold a License No. MD16891 (OR). The NPI Number for Unknown Individual is 1144203654

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144203654
Phone
(503) 375-0555
Address
857 MEDICAL CENTER DR NE
Deactivation Date
17 January 2022
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

  • 857, Medical Center Drive Northeast, Salem, Marion County, Oregon, 97301, United States

    SALEM, OR 973012752

    Phone: (503) 375-0555

    Fax: (503) 375-3380

    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.

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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 97301)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1144203654 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Oregon?
You will see Salem, Oregon on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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