Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1366511362

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Certified Registered Nurse Anesthetist. The NPI Number for Unknown Individual is 1366511362

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366511362
Phone
(503) 652-2880
Address
10180 SE SUNNYSIDE ROAD
Deactivation Date
31 July 2024
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

  • Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States

    KAISER SUNNYSIDE MEDICAL CENTER

    CLACKAMAS, OR 970159764

    Phone: (503) 652-2880

    Type: Location

  • 5682, Broadway Street, Bolton, West Linn, Clackamas County, Oregon, 97068, United States

    WEST LINN, OR 970683207

    Phone: (503) 557-7590

    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 97015)

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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 1366511362; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Clackamas, Oregon for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1366511362. Always confirm identity and privileges with the practice and licensing boards.

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Unknown Individual

Certified Registered Nurse Anesthetist
Kaiser Sunnyside Medical Center, 10180, Southeast Sunnyside Road, Harmony, Oatfield, Metro, Clackamas County, Oregon, 97015, United States
NPI: 1891800835