Unknown Individual – Diagnostic Radiology Physician, NPI 1457319980

Unknown Individual is a healthcare provider. based in Ontario, Oregon. specializing in Diagnostic Radiology Physician. They hold a License No. MD23549 (OR). The NPI Number for Unknown Individual is 1457319980

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457319980
Phone
(541) 889-9545
Address
964 W IDAHO AVE
Deactivation Date
20 December 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

  • 964, West Idaho Avenue, Ontario, Malheur County, Oregon, 97914, United States

    SNAKE RIVER RADIOLOGY PCC

    ONTARIO, OR 979142111

    Phone: (541) 889-9545

    Fax: (541) 889-8376

    Mailing address matches the actual address.

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.

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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 97914)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1457319980 on file in the registry.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Diagnostic Radiology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Ontario?
Unknown Individual currently maps to Ontario, Oregon in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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