Unknown Individual – Body Imaging Physician, NPI 1386746782

Unknown Individual is a healthcare provider. based in Clackamas, Oregon. specializing in Body Imaging Physician. They hold a License No. MD05365 (OR). The NPI Number for Unknown Individual is 1386746782

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386746782
Phone
(503) 652-2880
Address
10180 SE SUNNYSIDE RD
Deactivation Date
6 September 2023
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

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

    CLACKAMAS, OR 970159764

    Phone: (503) 652-2880

    Type: Location

  • 13884, Conway Drive, Gaffney Lane, Oregon City, Clackamas County, Oregon, 97045, United States

    OREGON CITY, OR 970457020

    Phone: (503) 655-1600

    Fax: (503) 655-1600

    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.

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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)

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1386746782.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Body Imaging Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Clackamas, Oregon?
If you are local to Clackamas, Oregon, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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