Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1336130822

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 970467 (OR). The NPI Number for Unknown Individual is 1336130822

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336130822
Phone
(503) 621-1069
Address
1776 SW MADISON ST
Deactivation Date
19 August 2022
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

  • Native American Rehabilitation Association of the Northwest, 1776, Southwest Madison Street, Goose Hollow, Portland, Metro, Multnomah County, Oregon, 97205, United States

    PORTLAND, OR 972051715

    Phone: (503) 621-1069

    Fax: (503) 621-0200

    Type: Mailing

  • Northwest Saint Helens Road, Linnton, Portland, Metro, Multnomah County, Oregon, 97203, United States

    PORTLAND, OR 972311729

    Phone: (503) 621-1069

    Fax: (503) 621-0200

    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)

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

Insurance plans in this area (ZIP 97205)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1336130822.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Addiction (Substance Use Disorder) Counselor. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Portland, Oregon for Unknown Individual; expand the address list for detail.
What if Portland, Oregon seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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