Unknown Individual – Primary Care Nurse Practitioner, NPI 1326142779

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Primary Care Nurse Practitioner. They hold a License No. 279750 (CA). The NPI Number for Unknown Individual is 1326142779

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1326142779
Phone
(503) 777-3311
Address
7705 SE DIVISION ST
Deactivation Date
3 April 2024
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

  • Southeast Division Street, Centennial, Portland, Metro, Multnomah County, Oregon, 97233, United States

    PORTLAND, OR 972061059

    Phone: (503) 777-3311

    Type: Location

  • Fairway Street, The Greens, Newberg, Yamhill County, Oregon, 97132, United States

    NEWBERG, OR 97132

    Phone:

    Type: Mailing

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 97206)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1326142779.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Where in Oregon is Unknown Individual registered?
Use Portland, Oregon as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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