Unknown Individual – Obstetrics & Gynecology Physician, NPI 1205811437

Unknown Individual is a healthcare provider. based in Coos bay, Oregon. specializing in Obstetrics & Gynecology Physician. They hold a License No. MD08539 (OR). The NPI Number for Unknown Individual is 1205811437

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1205811437
Phone
(541) 267-5151
Address
1900 WOODLAND DR
Deactivation Date
7 October 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

  • 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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 identifier follows Unknown Individual across health systems?
The NPI 1205811437 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Coos Bay, Oregon in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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