Unknown Individual – Neurology Physician, NPI 1265433775

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Neurology Physician. They hold a License No. G17748 (CA). The NPI Number for Unknown Individual is 1265433775

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265433775
Phone
(503) 215-6494
Address
PO BOX 3158
Deactivation Date
3 August 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3158, Southwest 87th Avenue, Portland, Metro, Washington County, Oregon, 97225, United States

    PORTLAND, OR 972083158

    Phone: (503) 215-6494

    Type: Mailing

  • 2900, State Street, Medford, Jackson County, Oregon, 97504, United States

    MEDFORD, OR 975048475

    Phone: (541) 732-8400

    Fax: (541) 732-8401

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97208)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1265433775?
NPI 1265433775 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Neurology Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Portland, Oregon.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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