Unknown Individual – Counselor, NPI 1174650840

Unknown Individual is a healthcare provider. based in Lake oswego, Oregon. specializing in Counselor. They hold a License No. CO825 (OR). The NPI Number for Unknown Individual is 1174650840

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174650840
Phone
(503) 961-4535
Address
512 S STATE ST
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

Provider Addresses for Unknown Individual

  • 512 S STATE ST

    LAKE OSWEGO, OR 970343858

    Phone: (503) 961-4535

    Type: Mailing

  • 1500 NE IRVING ST

    SUITE 250

    PORTLAND, OR 972322243

    Phone: (503) 233-4356

    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 97034)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1174650840 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Counselor. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Lake Oswego, Oregon for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1174650840. Always confirm identity and privileges with the practice and licensing boards.

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