Unknown Individual – Specialist, NPI 1437217478

Unknown Individual is a healthcare provider. based in Gresham, Oregon. specializing in Specialist. They hold a License No. 11630 (OR). The NPI Number for Unknown Individual is 1437217478

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1437217478
Phone
(503) 577-8743
Address
20300 SE MORRISON TER
Deactivation Date
27 March 2025
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

  • 20300, Southeast Morrison Terrace, The Landings at Morrison Apartments, North Central, Gresham, Multnomah County, Oregon, 97030, United States

    APT #M2089

    GRESHAM, OR 970302233

    Phone: (503) 577-8743

    Type: Mailing

  • Brilliance Salon & Day Spa, 231, North Main Avenue, Central City, Downtown Gresham, Gresham, Multnomah County, Oregon, 97030, United States

    GRESHAM, OR 970307207

    Phone: (503) 665-0853

    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 97030)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1437217478 in the public NPI dataset.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Other Service Providers. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Gresham, Oregon may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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