Unknown Individual – Family Medicine Physician, NPI 1457339947

Unknown Individual is a healthcare provider. based in Springfield, Oregon. specializing in Family Medicine Physician. They hold a License No. MD08567 (OR). The NPI Number for Unknown Individual is 1457339947

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1457339947
Phone
(541) 746-7040
Address
1007 HARLOW RD
Deactivation Date
24 May 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

  • Harlow Road, Springfield, Lane County, Oregon, 97475, United States

    SUITE 210

    SPRINGFIELD, OR 974777124

    Phone: (541) 746-7040

    Fax: (541) 746-7105

    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.

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 97477)

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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 1457339947 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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Springfield?
Unknown Individual currently maps to Springfield, Oregon in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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