Unknown Individual – Surgery Physician, NPI 1164408332

Unknown Individual is a healthcare provider. based in Coos bay, Oregon. specializing in Surgery Physician. They hold a License No. MD07049 (OR). The NPI Number for Unknown Individual is 1164408332

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1164408332
Phone
(541) 267-5151
Address
1900 WOODLAND DR
Deactivation Date
6 December 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

  • North Bend Medical Center, 1900, Woodland Drive, Coos Bay, Coos County, Oregon, 97420, United States

    COOS BAY, OR 974200000

    Phone: (541) 267-5151

    Fax: (541) 266-4501

    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 97420)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1164408332 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Surgery Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Coos Bay, Oregon in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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