Unknown Individual – Emotionally Disturbed Childrens' Residential Treatment Facility, NPI 1356552558

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 1356552558

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356552558
Phone
(541) 740-9414
Address
1355 SW WESTERN BLVD
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

  • 1355, Southwest Western Boulevard, Corvallis, Benton County, Oregon, 97333, United States

    CORVALLIS, OR 973334203

    Phone: (541) 740-9414

    Mailing address matches the actual address.

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 97333)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1356552558 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
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.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Corvallis, Oregon. Check all listed addresses for suites or satellite offices.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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