Unknown Individual – Physical Therapist, NPI 1336122803

Unknown Individual is a healthcare provider. based in Milwaukie, Oregon. specializing in Physical Therapist. They hold a License No. 2919 (OR). The NPI Number for Unknown Individual is 1336122803

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336122803
Phone
(503) 659-4777
Address
PO BOX 22075
Deactivation Date
19 March 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

  • PO BOX 22075

    MILWAUKIE, OR 972692075

    Phone: (503) 659-4777

    Fax: (503) 652-5223

    Type: Mailing

  • Stephen E. Epler Hall, 1136, Southwest Montgomery Street, University District, Portland Downtown, Portland, Metro, Multnomah County, Oregon, 97201, United States

    PORTLAND, OR 972668620

    Phone: (503) 353-1278

    Fax: (503) 353-1273

    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.

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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 97269)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1336122803 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Physical Therapist is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Milwaukie, Oregon as a primary anchor for Unknown Individual unless the record lists multiple sites.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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