Unknown Individual – Pediatric Rheumatology Physician, NPI 1376550293

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Pediatric Rheumatology Physician. They hold a License No. MD12528 (OR). The NPI Number for Unknown Individual is 1376550293

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376550293
Phone
Not provided
Address
707 SW GAINES ST
Deactivation Date
8 April 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

Loading map...

Provider Addresses for Unknown Individual

  • Child Development Rehabilitation Center, 707, Southwest Gaines Street, Marquam Hill, Homestead, Portland, Metro, Multnomah County, Oregon, 97239, United States

    PORTLAND, OR 972392901

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 97239)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1376550293 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Pediatric Rheumatology Physician. 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.

Similar Providers

DR. VICTORIA W. CARTWRIGHT (MD, MS)

Pediatric Rheumatology Physician
501 N Graham St
NPI: 1174591747

DR. DANIEL JOSEPH KINGSBURY (M.D.)

Pediatric Rheumatology Physician
2801 N Gantenbein Ave
NPI: 1396705414

ANDREW S LASKY (M.D.)

Pediatric Rheumatology Physician
501 N GRAHAM ST STE 355
NPI: 1982625778