Unknown Individual – Family Medicine Physician, NPI 1306881883

Unknown Individual is a healthcare provider. based in Lebanon, Oregon. specializing in Family Medicine Physician. They hold a License No. MD12017 (OR). The NPI Number for Unknown Individual is 1306881883

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306881883
Phone
(541) 451-7915
Address
35 MULLINS DR
Deactivation Date
5 April 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • SamFit - Lebanon, 35, Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    SUITE 2

    LEBANON, OR 973553985

    Phone: (541) 451-7915

    Fax: (541) 451-7943

    Type: Mailing

  • Mullins Drive, Lebanon, Linn County, Oregon, 97355, United States

    LEBANON, OR 973553985

    Phone: (541) 451-7915

    Fax: (541) 451-7943

    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.

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 97355)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1306881883; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What kind of provider is Unknown Individual?
The page reflects Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Lebanon, Oregon for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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