Unknown Individual – Addiction (Substance Use Disorder) Registered Nurse, NPI 1386833903

Unknown Individual is a healthcare provider. based in Portland, Oregon. specializing in Addiction (Substance Use Disorder) Registered Nurse. They hold a License No. MAO160577 (OR). The NPI Number for Unknown Individual is 1386833903

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386833903
Phone
Not provided
Address
1776 SW MADISON ST
Deactivation Date
15 November 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:

    Type: Mailing

  • NARA Indian Health Clinic, 15, North Morris Street, Albina, Eliot, Portland, Metro, Multnomah County, Oregon, 97227, United States

    PORTLAND, OR 972271541

    Phone: (503) 230-9875

    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.

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 97205)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1386833903.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Addiction (Substance Use Disorder) Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Portland, Oregon in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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