Unknown Individual – Psychiatry Physician, NPI 1144265596

Unknown Individual is a healthcare provider. based in Salem, Oregon. specializing in Psychiatry Physician. They hold a License No. 1457 (OR). The NPI Number for Unknown Individual is 1144265596

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1144265596
Phone
(541) 730-5669
Address
627 WINTER ST NE
Deactivation Date
5 February 2026
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

  • 627, Winter Street Northeast, Grant, Salem, Marion County, Oregon, 97301, United States

    SALEM, OR 97301

    Phone: (541) 730-5669

    Fax: (800) 764-6136

    Type: Location

  • UHY Crossleys, Station Road, Ballasalla, Malew, Rushen, IM99 6AB, Isle of Man

    PORTLAND, OR 97296

    Phone: (541) 730-5669

    Fax: (800) 764-6136

    Type: Mailing

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

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1144265596.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Salem, Oregon as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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