Unknown Individual – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1275734485

Unknown Individual is a healthcare provider. based in Corvallis, Oregon. specializing in Emotionally Disturbed Childrens' Residential Treatment Facility. The NPI Number for Unknown Individual is 1275734485

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275734485
Phone
(503) 888-6914
Address
1300 SW E AVE
Deactivation Date
22 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1300, Southwest E Avenue, Corvallis, Benton County, Oregon, 97333, United States

    APT #104

    CORVALLIS, OR 973334077

    Phone: (503) 888-6914

    Type: Mailing

  • Northeast 2nd Street, Corvallis, Benton County, Oregon, 97331, United States

    CORVALLIS, OR 973309695

    Phone: (541) 758-5909

    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

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 97333)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1275734485.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Emotionally Disturbed Childrens' Residential Treatment Facility. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Corvallis, Oregon?
For routing, start with Corvallis, Oregon for Unknown Individual, then verify phone and hours locally.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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